Texan Nursing & Rehab of Amarillo LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

111068 Issued in TX

Legal business name

TEXAN NURSING & REHAB OF AMARILLO LLC

Doing business as

TAmarilloAmarillo Nursing Center, Inc

Practice address

4033 W 51St Ave
Amarillo, TX 79109-6129

Phone

(806) 355-4488

Fax

(806) 353-0885

NPI assigned

Jun 30, 2005

Last updated

Jul 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Reeh

Title

Vice President

Phone

(210) 572-0701

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TAmarilloAmarillo Nursing Center, Inc Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1639176175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY",
            "address_2": "SUITE 255",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181777",
            "telephone_number": "210-572-0701",
            "fax_number": "210-572-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 W 51ST AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096129",
            "telephone_number": "806-355-4488",
            "fax_number": "806-353-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN NURSING & REHAB OF AMARILLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "REEH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-572-0701"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000434808",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014443",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAmarilloAmarillo Nursing Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Megan Temple, LCSW
• Emily Tennyson, LPC-A
• John Michael Tenorio, D.D.S.
• Suzzanne Victoria Tenorio, R.N., M.S.N., F.N.P
• Tina Teweleit, LCSW
• Texas Blue Lake Pools, Inc.
• Texas Cardiovascular Center, LLC
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• Texas Em-1 Medical Services, PA
• Texas Em-I Medical Services PA

• Skilled Nursing Facility in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.