Sears Caprock Retirement Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SEARS CAPROCK RETIREMENT CORPORATION

Doing business as

Mesa Springs Healthcare

Practice address

7171 Buffalo Gap
Abilene, TX 79606-5450

Phone

(325) 691-5519

Fax

(325) 698-4582

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Nancy S. Johnson, CPA

Title

Senior Vice President/Cfo

Phone

(325) 691-5519

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mesa Springs Healthcare Doing business as

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1851578892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE DR",
            "address_2": "SUITE 400",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068231",
            "telephone_number": "325-691-5519",
            "fax_number": "325-698-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 BUFFALO GAP",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065450",
            "telephone_number": "325-691-5519",
            "fax_number": "325-698-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS CAPROCK RETIREMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "325-691-5519",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015958",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Springs Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sears Methodist Center, Inc. (Sears Methodist Home Health of Amarillo)
• Sears Methodist Center, Inc. (Sears Methodist Center)

• Skilled Nursing Facility in Abilene, TX
• Providers in Abilene, 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 Aug 1, 2008; 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.