Integrated of Amarillo Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

135405 Issued in TX

Legal business name

INTEGRATED OF AMARILLO INC

Doing business as

Plum Creek Healthcare Center

Practice address

5601 Plum Creek Dr
Amarillo, TX 79124-1801

Phone

(806) 351-1000

Fax

(806) 351-3868

NPI assigned

Jun 30, 2005

Last updated

Jul 16, 2014By 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

Mr. Brian Reynolds

Title

Ceo

Phone

(410) 513-8738

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plum Creek Healthcare Center 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": "1405468800000",
    "number": "1831196138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 PLUM CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241801",
            "telephone_number": "806-351-1000",
            "fax_number": "806-351-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 PLUM CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241801",
            "telephone_number": "806-351-1000",
            "fax_number": "806-351-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED OF AMARILLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-513-8738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "135405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000523106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plum Creek Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 16, 2014; 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.