Pam Nerkowski Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

PAM NERKOWSKI INC

Practice address

608 Bluebonnet Dr
Allen, TX 75002-4429

Phone

(214) 770-1687

Fax

(214) 509-9776

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Pam Heethuis

Title

Case Manager

Phone

(214) 770-1687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1528237609",
    "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": "PAM NERKOWSKI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HEETHUIS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "214-770-1687"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Allen, TX
• Providers in Allen, TX by specialty
• Assisted Living Facility (Behavioral Disturbances) in Texas

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