The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1912982083 |
NPI Entity Type | Organization |
Provider Name |
Prairie Acres
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 201 E. 15th Street, Friona, TX, US |
Provider Mailing Address | 201 E. 15th Street, Friona, TX, US, 79035 |
Is Sole Proprietor? | No |
Official Name | LNFA Nichole M. Brister |
Official Position | ADMINISTRATOR |
Phone | 806-250-3922 |
Taxonomy Code | |
Taxonomy Name | Nursing Facility/Intermediate Care Facility |
Classification | |
Group | |
License No. | 125044 |
License State | TX |
Description | An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
126276 | TX | No | |||
107250 | TX | No | |||
111644 | TX | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
1280270001 | MEDICARE DMERC | 01 | |
021936201 | TX | MEDICAID | 05 |
000509501 | TX | MEDICAID | 05 |
001001908 | TX | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
DO Merissa Ferguson Individual |
17200 St Lukes Way |
||
MRS. PA-C Sara Marie Dungan Individual |
8122 Datapoint Dr Ste 120 |
||
Jeromy Mullin Individual |
502 E Fm 351 |
||
CRNA Gabriel Ramos Individual |
2805 Victoria Park Dr |
||
DR. MD Anne Abbate Individual |
5502 S Mccoll Rd |
||
Co-may Md Pllc Organization |
7619 Branford Pl Ste 210 |
||
Highrise Health Pllc Organization |
3624 Oak Lawn Ave Ste 110b |
||
LCSW Jaron De An'te Stubbs Individual |
5005 N Piedras St. |
||
MRS. PA Christine M Gonzales Individual |
3624 Oak Lawn Ave Ste 110b |
||
Jamille Edwards Individual |
6300 West Loop S Ste 110 |
||
Bespoke Hospice Care Llc Organization |
9001 Airport Fwy Ste 580 |
||
Global Care Services Organization |
2519 Rustic Trail Ln |
||
LPC Lawanda Martin Individual |
401 E Sonterra Blvd Ste 375 |
||
Chaney Landgraf Individual |
2313 Roosevelt Dr |
||
Kristina Tzartzeva Individual |
1601 Trinity St Bldg B |
||
FNP-BC Dolores Reyes Individual |
6306 Fairbanks N Houston Rd |
||
MRS. FNP Sasha Mireya Gonzalez Individual |
125 N Nueces Park Ln |
||
MRS. FNP Maria Fechner Individual |
125 N Nueces Park Ln |
||
DR. DDS Blessing Alagba Individual |
3550 E Broad St Ste 112 |
||
Jessica Hooson, Lcsw, P.l.l.c. Organization |
1004 Placid Creek Ct |
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