Organization Active NPI

Andrews Senior Activity Center Inc

  • Home Delivered Meals
  • Andrews, TX
National Provider Identifier
1285763367
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
ANDREWS SENIOR ACTIVITY CENTER INC
Practice address
310 W Broadway
Andrews, TX 79714-6214
Phone
(432) 523-5911
Fax
(432) 523-4991
NPI assigned
Mar 5, 2007
Organization subpart
Yes
Parent organization
ANDREWS SENIOR ACTIVITY CENTER INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mrs. Donna J Greaves
Title
Executive Director
Phone
(432) 523-5911

National Provider Directory

National Provider Directory
Part of
Andrews Senior Activity Center Inc

Locations

310 W Broadway St
Andrews, TX 79714
Phone (432) 523-5911

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

310 W Broadway
Andrews, TX 79714-6214

Mailing address

310 W Broadway
Andrews, TX 79714-6214
Phone (432) 523-5911

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
000185400OtherTXDADS CONTRACT
001012866OtherTXDADS CONTRACT

Other names 1

NPPES NPI Registry
  • Andrews Senior Center Inc Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2008.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1285763367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W BROADWAY",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797146214",
            "telephone_number": "432-523-5911",
            "fax_number": "432-523-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W BROADWAY",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797146214",
            "telephone_number": "432-523-5911",
            "fax_number": "432-523-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREWS SENIOR ACTIVITY CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDREWS SENIOR ACTIVITY CENTER INC",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GREAVES",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "432-523-5911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS CONTRACT",
            "identifier": "000185400",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS CONTRACT",
            "identifier": "001012866",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrews Senior Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Andrews, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.