Prairie House Living Center

LBN: Prairie Living Center, L.P.
Prairie House Living Center is an health care organization with primary practice located at 1301 Mesa Drive , Plainview TX 79072. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Prairie Living Center, L.P. can be contacted via phone (806) 293-4855, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
1301 Mesa Drive Plainview TX 79072
Phone: (806) 293-4855
Fax: (806) 293-2804
Website:
Map and Directions
Authorized official contact:
Name: Licari, Peter J
Phone: (215) 441-7700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 115199 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 118925 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 118925 Texas

Profile Details

NPI number 1447286356
LBN Legal business name Prairie Living Center, L.P.
DBA Doing business as Prairie House Living Center
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 2nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447286356 NPPES
Texas MEDICAID 001013627
Texas MEDICAID 021947901

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