NPIMap

Organization Active NPI

Conifercare, Inc.

Doing business as Denver Manor

  • Health Maintenance Organization
  • Lubbock, TX
National Provider Identifier
1366526220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
67-5351 Issued in TX
Legal business name
CONIFERCARE, INC.
Doing business as
Denver Manor
Practice address
4202 19TH St
Lubbock, TX 79407-2405
Phone
(806) 771-4124
Fax
(806) 771-4126
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Wayne Jewel
Title
President
Phone
(806) 771-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 67-5351 TX Primary

Addresses

Primary practice location

4202 19TH St
Lubbock, TX 79407-2405

Mailing address

4202 19TH St
Lubbock, TX 79407-2405
Phone (806) 771-4124

Other names 1

  • Denver Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conifer Careinc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366526220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072405",
            "telephone_number": "806-771-4124",
            "fax_number": "806-771-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072405",
            "telephone_number": "806-771-4124",
            "fax_number": "806-771-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONIFERCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEWEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-771-4124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "67-5351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.