NPI Database
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Contact Information

PRAIRIE LIVING CENTER, L.P.
1301 MESA DRIVE
PLAINVIEW, TX79072
 Phone: 806-293-4855
 Fax: 806-293-2804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PRAIRIE LIVING CENTER, L.P.

NPI Number 1447286356
LBN Legal business name PRAIRIE LIVING CENTER, L.P.
Authorized official PETER LICARI - (PRESIDENT OF GENERAL PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2006
Last updated 09/02/2009 - About 17 years ago
Identifiers
TX License # 115199
TX License # 118925
TX Medicaid 001013627
TX Medicaid 021947901
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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