Prevarian Al Odessa Operations

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

142714 Issued in TX

Legal business name

PREVARIAN AL ODESSA OPERATIONS

Practice address

201 Parks Village Dr
Odessa, TX 79765-8986

Phone

(432) 653-5804

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

H Dodd Crutcher

Title

President

Phone

(214) 736-7000

Specialties & licenses 1

Addresses

Other names 1

• The Courtyards Assisted Living and Memory Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1992251870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARKS VILLAGE DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658986",
            "telephone_number": "432-653-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARKS VILLAGE DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658986",
            "telephone_number": "432-653-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVARIAN AL ODESSA OPERATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "CRUTCHER",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "DODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-736-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "142714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Courtyards Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Precious Smiles Dentistry, PC
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• Premier Diagnostic Imaging Inc
• Premise Health of Texas Medical PA
• John W Presley, CRNA
• Logan Price
• Rebekah Ann Priddy
• Anchesonique Renae Pride
• Florence Pride, LPC
• Primary Care and Parasurgical Ophthalmic Services, Inc.

• Assisted Living Facility in Odessa, TX
• Providers in Odessa, 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 Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.