A.M.E.N. HCS

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2500000 Issued in TX

Legal business name

A.M.E.N. HCS

Practice address

1101 Logan Ave
Corpus Christi, TX 78404-3725

Phone

(361) 434-5107

Fax

(361) 334-3652

NPI assigned

Oct 23, 2012

Organization subpart

No

Name

Ms. Amanda J. Clegg

Title

Program Manager

Phone

(361) 688-4734

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2012.

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1831442284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LOGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043725",
            "telephone_number": "361-434-5107",
            "fax_number": "361-334-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LOGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043725",
            "telephone_number": "361-434-5107",
            "fax_number": "361-334-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.M.E.N. HCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "361-688-4734",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "2500000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2500000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Corpus Christi, TX
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.