Amerisa, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

67-2080 Issued in TX

Legal business name

AMERISA, INC.

Practice address

313 N. Lee
Sutie B
Hereford, TX 79045-7904

Phone

(806) 591-0016

NPI assigned

Oct 1, 2009

Last updated

Nov 2, 2009By 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

Roy Puente

Title

Ceo/President

Phone

(806) 591-0016

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1649504036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N. LEE",
            "address_2": "SUITE B",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790457904",
            "telephone_number": "806-336-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N. LEE",
            "address_2": "SUTIE B",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790457904",
            "telephone_number": "806-591-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERISA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "PUENTE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "806-591-0016"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "67-2080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Hereford, TX
• Providers in Hereford, 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 Nov 2, 2009; 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.