Provider Demographics
NPI:1265663793
Name:RMR HEALTHCARE RICHARDSON, LLC
Entity Type:Organization
Organization Name:RMR HEALTHCARE RICHARDSON, LLC
Other - Org Name:REMINGTON MEDICAL RESORT- RICHARDSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEREDITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-773-5151
Mailing Address - Street 1:555 ROUND ROCK WEST DR
Mailing Address - Street 2:SUITE 390
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5052
Mailing Address - Country:US
Mailing Address - Phone:512-773-5151
Mailing Address - Fax:512-773-5152
Practice Address - Street 1:1350 E LOOKOUT DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4106
Practice Address - Country:US
Practice Address - Phone:972-479-1111
Practice Address - Fax:512-733-5152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REMINGTON MEDICAL RESORT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-31
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676243Medicare Oscar/Certification