Organization Active NPI

Panhandle Independent Living Center

Doing business as Pilc

  • Case Management Agency
  • Amarillo, TX
National Provider Identifier
1205598380
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PANHANDLE INDEPENDENT LIVING CENTER
Doing business as
Pilc
Practice address
417 SW 10TH Ave
Amarillo, TX 79101-3315
Phone
(806) 374-1400
Fax
(806) 374-4550
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Mrs. Cherrie Deann Miller
Title
Veteran Outreach Coordinator
Phone
(806) 374-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

417 SW 10TH Ave
Amarillo, TX 79101-3315

Mailing address

417 SW 10TH Ave
Amarillo, TX 79101-3315
Phone (806) 374-1400

Other names 2

  • PILC Doing business as
  • PACILS, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

417 SW 10th Ave
Amarillo, TX 79101
Phone (806) 374-1400

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1205598380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SW 10TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791013315",
            "telephone_number": "806-374-1400",
            "fax_number": "806-374-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SW 10TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791013315",
            "telephone_number": "806-374-1400",
            "fax_number": "806-374-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE INDEPENDENT LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHERRIE",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "VETERAN OUTREACH COORDINATOR",
        "authorized_official_telephone_number": "806-374-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PILC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PACILS, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 6, 2021; 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.