Active NPI
Sears Plains Retirement Corporation
- Nursing Facility/Intermediate Care Facility
- Lubbock, TX
National Provider Identifier
1013990779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 111394
- Legal business name
- SEARS PLAINS RETIREMENT CORPORATION
- Practice address
- 3710 4TH St
Lubbock, TX 79415-5346 - Phone
- (806) 763-4455
- NPI assigned
- Nov 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randall Crosswhite, CPA
- Title
- Vice President/Asst. Cfo
- Phone
- (325) 691-5519
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 111394 | TX | Primary |
Addresses
Primary practice location
3710 4TH St
Lubbock, TX 79415-5346
Mailing address
1 Village Dr
Suite 400
Abilene, TX 79606-8231
Phone (325) 691-5519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001003887 | Medicaid | TX |
Other names 1
- Garrison Geriatric Education and Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272240000000",
"number": "1013990779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VILLAGE DR",
"address_2": "SUITE 400",
"city": "ABILENE",
"state": "TX",
"postal_code": "796068231",
"telephone_number": "325-691-5519",
"fax_number": "325-698-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 4TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794155346",
"telephone_number": "806-763-4455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEARS PLAINS RETIREMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-26",
"last_updated": "2010-04-26",
"status": "A",
"authorized_official_last_name": "CROSSWHITE",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "VICE PRESIDENT/ASST. CFO",
"authorized_official_telephone_number": "325-691-5519",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "TX",
"license": "111394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001003887",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Garrison Geriatric Education and Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.