Provider Demographics
NPI:1811961865
Name:MEXIA MANAGEMENT CO.
Entity type:Organization
Organization Name:MEXIA MANAGEMENT CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHELSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-562-3999
Mailing Address - Street 1:501 E SUMPTER ST
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-2354
Mailing Address - Country:US
Mailing Address - Phone:254-562-5543
Mailing Address - Fax:254-562-2206
Practice Address - Street 1:501 E SUMPTER ST
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-2354
Practice Address - Country:US
Practice Address - Phone:254-562-5543
Practice Address - Fax:254-562-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4303314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000430308Medicaid
675875Medicare Oscar/Certification