NPI age
7 years
Enumerated 2019-04-21
● Active Type 2 · Organization
Southwest Ltc - Bonner Llc
Southwest Ltc - Bonner Llc is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Payne
President
Last NPPES update
2019-04-21
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
7 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-04Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
810 Bellaire St
Jacksonville, TX 757669045
Mailing address
5560 Tennyson Pkwy Ste 210
Plano, TX 750243582
Authorized official
Ronald Payne
President
📞 4699166100
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Matthew Goldman, PTA Physical Therapy Assistant NPI 1477033231
- Michelle Hayes Registered Nurse NPI 1114799764
- Virginia Lotito, MS, CCC-SLP Speech-Language Pathologist NPI 1831670017
- Dayna McKey Physical Therapy Assistant NPI 1699256651
- Alaina Newman, COTA Clinical Exercise Physiologist NPI 1861972937
- Clair Radliff Physical Therapy Assistant NPI 1588935605
- Jordan Smith, COTA Occupational Therapy Assistant NPI 1992286710
- Christy Spell Occupational Therapy Assistant NPI 1417430042
Specialties
-
Skilled Nursing Facility Primary(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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Legacy at Jacksonville
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.