NPIMap

Organization Active NPI

Plainview Serenity Center,Inc.

  • Substance Abuse Rehabilitation Facility
  • Plainview, TX
National Provider Identifier
1104183797
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
486-486A Issued in TX
Legal business name
PLAINVIEW SERENITY CENTER,INC.
Practice address
450 Interstate 27
Plainview, TX 79072-0055
Phone
(806) 293-9722
Fax
(806) 293-1822
NPI assigned
Apr 19, 2012
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Warren Paul Walker, LCDC,LPC,LBSW
Title
Cheif Executive Officer
Phone
(806) 293-9722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 486-486A TX Primary

Addresses

Primary practice location

450 Interstate 27
Plainview, TX 79072-0055

Mailing address

PO Box 278
450 N Ih 27
Plainview, TX 79073-0278
Phone (806) 293-9722

National Provider Directory

National Provider Directory
Tax ID family
Plainview Serenity Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 Interstate 27
Plainview, TX 79072
Phone (806) 293-9722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1104183797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "address_2": "450 N IH 27",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790730278",
            "telephone_number": "806-293-9722",
            "fax_number": "806-293-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 INTERSTATE 27",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790720055",
            "telephone_number": "806-293-9722",
            "fax_number": "806-293-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINVIEW SERENITY CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "806-293-9722",
        "authorized_official_credential": "LCDC,LPC,LBSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "486-486A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.