Bluebonnet Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLUEBONNET ASSISTED LIVING, LLC

Practice address

6301 Blake Ave
Amarillo, TX 79119-7201

Phone

(806) 351-0686

Fax

(806) 467-1359

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Womack

Title

Manager

Phone

(806) 676-7638

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1780913178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BLAKE AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791197201",
            "telephone_number": "806-351-0686",
            "fax_number": "806-467-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BLAKE AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791197201",
            "telephone_number": "806-351-0686",
            "fax_number": "806-467-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-676-7638",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salli A Blevins, RN
• Jordan Marie Blocker-Gonzales
• Elizabeth G Blodgett, FNP
• Samantha Blondell, OT
• Tiffany Blount, COTA
• Alexia M Bobah, PHARM.D.
• Shannon Dawn Bohanan
• Amanda Beth Bohon, M.A., R.D.
• Belinda Fay Boissenet, PTA
• Cheryl Ann Bolton, RCP

• Assisted Living Facility in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.