Active NPI
Deborah a Stamp
- Home Health Agency
- Amarillo, TX
National Provider Identifier
1104008622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009250
- Legal business name
- DEBORAH A STAMP
- Practice address
- 4112 SW 50TH Ave
Amarillo, TX 79109-6128 - Phone
- (806) 352-9992
- Fax
- (806) 352-9998
- NPI assigned
- Nov 27, 2007
- 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
- Deborah Ann Stamp, RN, BSN
- Title
- Owner/Admin
- Phone
- (806) 352-9992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009250 | TX | Primary |
Addresses
Primary practice location
4112 SW 50TH Ave
Amarillo, TX 79109-6128
Mailing address
4112 SW 50TH Ave
Amarillo, TX 79109-6128
Phone (806) 352-9992
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001015057 | Medicaid | TX | |
| 012105 | Other | TX | TEXAS |
| 001015056 | Medicaid | TX |
Other names 1
- FIRST CLASS HEALTHCARE
National Provider Directory
National Provider DirectoryLocations
4112 SW 50th Ave
Amarillo, TX 79109
Phone (806) 352-9992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256169600000",
"number": "1104008622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 SW 50TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791096128",
"telephone_number": "806-352-9992",
"fax_number": "806-352-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 SW 50TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791096128",
"telephone_number": "806-352-9992",
"fax_number": "806-352-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH A STAMP",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2009-10-22",
"status": "A",
"authorized_official_last_name": "STAMP",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/ADMIN",
"authorized_official_telephone_number": "806-352-9992",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001015057",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS",
"identifier": "012105",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001015056",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FIRST CLASS HEALTHCARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.