Organization Active NPI

Clayton Health Facilities LP

Doing business as Clayton Nursing and Rehab

  • Skilled Nursing Facility
  • Clayton, NM
National Provider Identifier
1932450848
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1089 Issued in NM
Legal business name
CLAYTON HEALTH FACILITIES LP
Doing business as
Clayton Nursing and Rehab
Practice address
419 Harding St
Clayton, NM 88415-3323
Phone
(575) 374-2562
Fax
(575) 374-2915
NPI assigned
Oct 2, 2012
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Mrs. Jamie L Collier
Title
Director of Reimbursement
Phone
(972) 931-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1089 NM Primary

Addresses

Primary practice location

419 Harding St
Clayton, NM 88415-3323

Mailing address

5420 W Plano Pkwy
Plano, TX 75093-4823
Phone (972) 931-3800

Other identifiers 1

IdentifierTypeStateIssuer
56171838MedicaidNM

Other names 1

  • Clayton Nursing and Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

419 Harding St
Clayton, NM 88415
Phone (505) 374-2353

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1932450848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-931-3800",
            "fax_number": "972-767-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 HARDING ST",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884153323",
            "telephone_number": "575-374-2562",
            "fax_number": "575-374-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON HEALTH FACILITIES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-931-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56171838",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.