Organization Active NPI

Sera Rose Assisted Living

  • Assisted Living Facility
  • Plainview, TX
National Provider Identifier
1578624151
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
117086 Issued in TX
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

Updated by the provider on Jun 23, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.