PRAIRIE ACRES
Assisted Living Facility
Friona, Texas
Provider NPI: 1912982083
Organization Information:Organization Name: PRAIRIE ACRES
Practice Location:
201 E. 15TH STREET FRIONA, TX 79035 US
Tel: 806-250-3922 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
201 E. 15TH STREET FRIONA, TX 79035 US
Tel: 806-250-3922 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | TX | 107250 |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | TX | 111644 |
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | TX | 126276 |
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | TX | 125044 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICARE DMERC | 1280270001 | 01 | |
000509501 | TX | 05 | |
001001908 | TX | 05 | |
021936201 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin