Active NPI
Sera Rose Assisted Living
- Assisted Living Facility
- Plainview, TX
National Provider Identifier
1578624151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 117086
- Legal business name
- SERA ROSE ASSISTED LIVING
- Practice address
- 410 W 11TH St
Plainview, TX 79072-7232 - Phone
- (806) 293-4449
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rosie Camacho Rendon, LNHA
- Title
- Owner
- Phone
- (806) 293-4449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 117086 | TX | Primary |
Addresses
Primary practice location
410 W 11TH St
Plainview, TX 79072-7232
Mailing address
410 W 11TH St
Plainview, TX 79072-7232
Phone (806) 293-4449
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1578624151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W 11TH ST",
"city": "PLAINVIEW",
"state": "TX",
"postal_code": "790727232",
"telephone_number": "806-293-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 11TH ST",
"city": "PLAINVIEW",
"state": "TX",
"postal_code": "790727232",
"telephone_number": "806-293-4449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERA ROSE ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "RENDON",
"authorized_official_first_name": "ROSIE",
"authorized_official_middle_name": "CAMACHO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-293-4449",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "117086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.