Pecos Nursing Opertaions, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PECOS NURSING OPERTAIONS, LLC

Doing business as

Pecos Living & Rehabilitation

Practice address

306 W 7TH St
Suite 430
Ft Worth, TX 76102-4900

Phone

(817) 339-6177

Fax

(817) 339-6178

NPI assigned

Jun 19, 2014

Organization subpart

Yes

Parent organization

TRINITY HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Ryan Harrington

Title

President

Phone

(817) 339-6177

Specialties & licenses 1

Addresses

Other names 1

• Pecos Living & Rehabilitation Doing business as

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408838400000",
    "number": "1053725838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 7TH ST",
            "address_2": "SUITE 430",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761024900",
            "telephone_number": "817-339-6177",
            "fax_number": "817-339-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 7TH ST",
            "address_2": "SUITE 430",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761024900",
            "telephone_number": "817-339-6177",
            "fax_number": "817-339-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECOS NURSING OPERTAIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTHCARE, LLC",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-08-24",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-339-6177"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pecos Living & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hilary B Pearson, M.D.,
• Karen Katrina Pearson, LPC
• Todd D Pearson, MD
• Shellie Jean Peaton, RMA
• Emily Peck, DTR
• Allison Peddle
• Destiny Renae Peden, RN
• Pedi Master Inc
• Pedi Spot LLC
• Pedialife Home Health Inc.

• Skilled Nursing Facility in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2014; 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.