Organization Active NPI

Sears Panhandle Retirement Corporation

  • Nursing Facility/Intermediate Care Facility
  • Amarillo, TX
National Provider Identifier
1295718955
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
100734 Issued in TX
Legal business name
SEARS PANHANDLE RETIREMENT CORPORATION
Doing business as
Craig Methodist Retirement Community
Practice address
5500 W 9TH Ave
Amarillo, TX 79106-4162
Phone
(806) 352-7244
NPI assigned
Nov 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mr. Alva L West, CPA
Title
Vice President/Asst. Cfo
Phone
(325) 691-5519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 100734 TX Primary

Addresses

Primary practice location

5500 W 9TH Ave
Amarillo, TX 79106-4162

Mailing address

1 Village Dr
Suite 400
Abilene, TX 79606-8231
Phone (325) 691-5519

Other names 1

  • Craig Methodist Retirement Community Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1295718955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE DR",
            "address_2": "SUITE 400",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068231",
            "telephone_number": "325-691-5519",
            "fax_number": "325-698-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064162",
            "telephone_number": "806-352-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS PANHANDLE RETIREMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-26",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "ALVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT/ASST. CFO",
        "authorized_official_telephone_number": "325-691-5519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "100734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig Methodist Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 10, 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.