NPIMap

Organization Active NPI

South Plains Community Action Association, Inc.

  • Supports Brokerage Agency
  • Levelland, TX
National Provider Identifier
1437215787
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Doing business as
Community Action VFI
Practice address
411 Austin St
Levelland, TX 79336-4733
Phone
(806) 894-6104
Fax
(806) 897-0835
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Mr. William D Powell Jr.
Title
Executive Director
Phone
(806) 894-6104

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Supports Brokerage Agency 251X00000X TX Primary
Respite Care 385H00000X TX

Addresses

Primary practice location

411 Austin St
Levelland, TX 79336-4733

Mailing address

PO Box 610
411 Austin St
Levelland, TX 79336-0610
Phone (806) 894-6104

Other identifiers 1

IdentifierTypeStateIssuer
001003550MedicaidTX

Other names 1

  • Community Action VFI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Action Vfi6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

411 Austin St
Levelland, TX 79336
Phone (806) 894-6104

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1437215787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "address_2": "411 AUSTIN ST",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793360610",
            "telephone_number": "806-894-6104",
            "fax_number": "806-897-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 AUSTIN ST",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793364733",
            "telephone_number": "806-894-6104",
            "fax_number": "806-897-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-894-6104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003550",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Action VFI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levelland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.