NPIMap

Organization Active NPI

Amarillo Multiservice Center for the Aging, Inc.

Doing business as DBA The Basics At Jan Werner

  • PACE Provider Organization
  • Amarillo, TX
National Provider Identifier
1356397301
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
116635 Issued in TX
Legal business name
AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.
Doing business as
DBA The Basics At Jan Werner
Jan Werner Adult Day Care Center
Practice address
3108 S. Fillmore St
Amarillo, TX 79110-1026
Phone
(806) 374-5516
Fax
(806) 373-9446
NPI assigned
May 25, 2006
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Mrs. Kristen (Krissy) R Hurt, RN
Title
Executive Director
Phone
(806) 374-5516

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 003308 TX
PACE Provider Organization 251T00000X 116635 TX Primary

Addresses

Primary practice location

3108 S. Fillmore St
Amarillo, TX 79110-1026

Mailing address

3108 S. Fillmore St
Amarillo, TX 79110-1026
Phone (806) 374-5516

Other identifiers 3

IdentifierTypeStateIssuer
001012340OtherTXPACE CONTRACT
00330800OtherTXDAHS CONTRACT
H4517OtherTXCMS H NUMBER

Other names 2

  • DBA The Basics At Jan Werner Doing business as
  • Jan Werner Adult Day Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1002995Jan Werner Adult Day Care Center3108 S Fillmore, Amarillo, TX 79110Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory
Part of
Amarillo Multiservice Center for the Aging Inc

Locations

3108 S Fillmore St
Amarillo, TX 79110
Phone (806) 374-5516

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1356397301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 S. FILLMORE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101026",
            "telephone_number": "806-374-5516",
            "fax_number": "806-373-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 S. FILLMORE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101026",
            "telephone_number": "806-374-5516",
            "fax_number": "806-373-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "KRISTEN (KRISSY)",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-374-5516",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "003308",
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "TX",
            "license": "116635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE CONTRACT",
            "identifier": "001012340",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAHS CONTRACT",
            "identifier": "00330800",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS H NUMBER",
            "identifier": "H4517",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA The Basics At Jan Werner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jan Werner Adult Day Care Center",
            "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 Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.