Trinity-Fpacp Pecos LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TRINITY-FPACP PECOS LLC

Doing business as

Focused Care at Pecos

Practice address

1819 S Memorial Dr
Pecos, TX 79772-7036

Phone

(432) 447-2183

Fax

(432) 447-6815

NPI assigned

Aug 18, 2017

Last updated

May 6, 2021By 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

Ms. Jaimie Lyn Williams

Title

Executive Assistant

Phone

(817) 632-1000

Specialties & licenses 1

Addresses

Other names 1

• Focused Care at Pecos Doing business as

Locations

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1770009979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BALLINGER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025903",
            "telephone_number": "817-632-1000",
            "fax_number": "817-632-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 S MEMORIAL DR",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797727036",
            "telephone_number": "432-447-2183",
            "fax_number": "432-447-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY-FPACP PECOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAIMIE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "817-632-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focused Care at Pecos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Sibley, DIETITIAN
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• Kristen Suzanne Upchurch, FNP
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• Skilled Nursing Facility in Pecos, TX
• Providers in Pecos, 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 May 6, 2021; 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.