NPIMap

Organization Active NPI

Amity Fellowserve Inc.

  • Skilled Nursing Facility
  • Yuma, AZ
National Provider Identifier
1003894841
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AMITY FELLOWSERVE INC.
Practice address
2222 S Avenue a
Yuma, AZ 85364-8315
Phone
(928) 783-8831
Fax
(928) 782-5370
NPI assigned
Jan 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas Clarke
Title
President
Phone
(540) 265-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2222 S Avenue a
Yuma, AZ 85364-8315

Mailing address

2222 S Avenue a
Yuma, AZ 85364-8315
Phone (928) 783-8831

Other identifiers 2

IdentifierTypeStateIssuer
XLTC00031MedicaidCA
374108MedicaidAZ

Other names 2

  • Palm View Rehabilitation & Care Doing business as
  • Palmview Rehabilitation & Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1003894841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648315",
            "telephone_number": "928-783-8831",
            "fax_number": "928-782-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648315",
            "telephone_number": "928-783-8831",
            "fax_number": "928-782-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY FELLOWSERVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-265-0322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XLTC00031",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374108",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm View Rehabilitation & Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palmview Rehabilitation & Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.