MARSHALL MANOR WEST
NPI 1619208469
Skilled Nursing Facility in Marshall, TX

Active since January 19, 2010CLIA 45D0957417 · Waiver
207 W MERRITT ST, MARSHALL, TX 75670(903) 938-3793(718) 865-0662 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marshall Manor West NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL MANOR WEST (NPI 1619208469) is a healthcare organization registered as a skilled nursing facility in Marshall, Texas and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Mendy Shapiro, Member, as its authorized official.

NPPES Registry Identity

NPI1619208469
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMARSHALL SNF LLC
Location Address207 W MERRITT STMarshall, TX 75670-6240
Mailing Address410 Monmouth Ave, Suite 130Lakewood, NJ 08701-3711
Fax(718) 865-0662
Organization SubpartNo
Authorized OfficialMendy ShapiroMember · (732) 961-9000
Enumeration DateJanuary 19, 2010
Last NPPES UpdateDecember 1, 2016
NPI 1619208469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
207 W MERRITT ST, Marshall, TX 75670

Other Names 1

Doing Business AsMarshall Manor West

Other Identifiers 1

Medicare OSCAR/certification455879TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0957417

Marshall Manor West · Marshall, TX
Active · expires Feb 18, 2027
CLIA Number45D0957417
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorKenneth Williams
Laboratory Phone(903) 938-3793
Laboratory LocationMarshall Manor West207 West Merritt Street Attn Ken Kale, Marshall, TX 75670
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
207 W MERRITT ST
MARSHALL, TX 75670
Skilled Nursing Facility
207 W MERRITT ST
MARSHALL, TX 75670
Skilled Nursing Facility
207 W MERRITT ST
MARSHALL, TX 75670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall Snf LLC's NPI number?

The NPI number for Marshall Snf LLC is 1619208469. It was assigned to this organization in the NPPES registry on January 19, 2010. The provider is doing business as Marshall Manor West.

Where is Marshall Snf LLC located?

Marshall Snf LLC is located at 207 W Merritt St, Marshall, TX 75670. The listed phone number is (903) 938-3793.

What is Marshall Snf LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Marshall Snf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0957417) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marshall Snf LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Marshall Snf LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marshall Snf LLC was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.