AMARILLO MULTISERVICE CENTER FOR THE AGING, INC. (NPI# 1356397301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356397301 |
| Entity Type | Organization |
| Organization Name | AMARILLO MULTISERVICE CENTER FOR THE AGING, INC. |
| Other Organization Name | THE BASICS AT JAN WERNER |
| Practice Address |
3108 S Fillmore St Amarillo TX 79110-1026 |
| Practice Telephone | 8063745516 |
| Practice Fax Number | 8063739446 |
| Mailing Telephone | 8063745516 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | MRS. ALANA J CHILCOTE (EXECUTIVE DIRECTOR, C.O.O.) |
| Authorized Official Telephone | 8063745516 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | AMARILLO MULTISERVICE CENTER FOR THE AGING, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
003308 | TX | Ambulatory Health Care Facilities |
| Y | 251T00000X | PACE Provider Organization | 116635 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PACE CONTRACT | 001012340 | 01 |
| TX | DAHS CONTRACT | 00330800 | 01 |
| TX | CMS H NUMBER | H4517 | 01 |
| Other Name | Type Code |
|---|---|
| The Basics at Jan Werner | Doing Business As Name - Organization |
| Street Address |
3108 S FILLMORE ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1952651929 | Patsy Haner | Physical Therapy Assistant | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1386994432 | Isaac Valdez | Physical Therapy Assistant | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1407106545 | Jacinda J Perez | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1194075325 | Ruby Crox Gaitan | Social Worker | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-14 |
| 1326395898 | Donnice Johnson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-08-14 |
| 1467709337 | Ruth A Yates | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1780620674 | Mobile Xray of Amarillo | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4303 South Fannin, Amarillo, TX 79110-0000 | 2006-06-21 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1093732166 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2006-07-16 |
| 1427658947 | Samantha Michelle Chandler | Pharmacist | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2020-10-26 |
| 1649893876 | Kristofer Rice | Pharmacist | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2020-05-21 |
| 1750462149 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2006-10-18 |
| 1376086959 | Nec Amarillo South Emergency Center, Lp | Clinic/Center | 4121 S Georgia St, Amarillo, TX 79110-1117 | 2016-11-30 |
| Find all providers in zip 79110 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212961 | Gregory Wayne Mcafee Jr. | PACE Provider Organization | 7216 Mallard Dr, Texas City, TX 77591-3616 | 2019-12-17 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1700373966 | Nathalia White Shanetta White | PACE Provider Organization | 240 W Galveston St Unit 417, League City, TX 77574-0849 | 2018-04-13 |
| 1942717012 | Wayfinders Day Habilitations & Respite Care | PACE Provider Organization | 4611 W Walnut St, Pearland, TX 77581-3967 | 2018-01-10 |
| 1154833184 | Operation Advantage Inc. | PACE Provider Organization | 2747 Point Vw, Cedar Hill, TX 75104-6936 | 2017-10-31 |
| 1275069478 | Jeffrey Joe Young | PACE Provider Organization | 2129 Green Lee Lane, Dickinson, TX 77539-5152 | 2017-05-08 |
| 1417308966 | Good Grace Provider Service | PACE Provider Organization | 15155 Richmond Ave Apt 833, Houston, TX 77082-1637 | 2016-06-27 |
| 1174971865 | Genuine Queens Jcl Care | PACE Provider Organization | 3730 S Loop 1604 E, San Antonio, TX 78264-9551 | 2016-06-03 |
| 1184072118 | Philia Interpreting Agency | PACE Provider Organization | 701 Mesquite St, Abilene, TX 79601-5220 | 2016-05-31 |
| 1710331913 | Heritage Developmental Care LLC | PACE Provider Organization | 9465 Clearwood Dr, Apt 324, Houston, TX 77075-4059 | 2016-04-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.