NPIMap

Organization Active NPI

Childress Healthcare

  • Adult Care Home Facility
  • Childress, TX
National Provider Identifier
1174511745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
110871 Issued in TX
Legal business name
CHILDRESS HEALTHCARE
Practice address
1200 7TH St NW
Childress, TX 79201-2627
Phone
(940) 937-8668
Fax
(940) 937-8772
NPI assigned
Oct 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dawna Lynn McMinn, RN
Title
Medicare Manager
Phone
(940) 937-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 110871 TX Primary

Addresses

Primary practice location

1200 7TH St NW
Childress, TX 79201-2627

Mailing address

1200 7TH St NW
Childress, TX 79201-2627
Phone (940) 937-8668

National Provider Directory

National Provider Directory
Tax ID family
Hill Country Healthcare28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174511745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 7TH ST NW",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792012627",
            "telephone_number": "940-937-8668",
            "fax_number": "940-937-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 7TH ST NW",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792012627",
            "telephone_number": "940-937-8668",
            "fax_number": "940-937-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMINN",
        "authorized_official_first_name": "DAWNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICARE MANAGER",
        "authorized_official_telephone_number": "940-937-8668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "110871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Childress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.