Nerkowski, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

001007822 Issued in TX

Legal business name

NERKOWSKI, INC.

Practice address

608 Bluebonnet Dr
Allen, TX 75002-4429

Phone

(214) 770-1687

Fax

(214) 509-9776

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Pam Jo Nerkowski

Title

Owner

Phone

(214) 770-1687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1285838367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BLUEBONNET DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024429",
            "telephone_number": "214-770-1687",
            "fax_number": "214-509-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 BLUEBONNET DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024429",
            "telephone_number": "214-770-1687",
            "fax_number": "214-509-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERKOWSKI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "NERKOWSKI",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-770-1687",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "001007822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Allen, TX
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• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.