Prairie House SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRAIRIE HOUSE SNF LLC

Practice address

1301 Mesa Dr
Plainview, TX 79072-3905

Phone

(806) 293-4855

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Zevi Kohn

Title

Cfo

Phone

(917) 370-9063

Specialties & licenses 2

Addresses

Other names 1

• Prairie House Living Center Doing business as

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1053647495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E RANDOL MILL RD",
            "address_2": "STE 630",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116315",
            "telephone_number": "817-607-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MESA DR",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790723905",
            "telephone_number": "806-293-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HOUSE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ZEVI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-370-9063"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie House Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plainview Primary Care, P.a.
• Plainview Radiology LLC
• Plainview Serenity Center
• Plainview Serenity Center,Inc.
• Diana Lizbeth Plascencia
• Prairie Living Center, L.P.
• Premier Obstetrics & Gynecology, P.a.
• Noelia Quezada, PT
• Radar Supports
• Ruth Kristine Rector-Wright, D.O.

• All providers in Plainview, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.