Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRAIRIE LIVING CENTER, L.P.
Active
Organization
PRAIRIE LIVING CENTER, L.P.
Active
Other names
Prairie House Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J LICARI (PRESIDENT OF GENERAL PARTNER)
(215) 441-7700
Entity
Organization
Contact information
Practice address
1301 MESA DRIVE, PLAINVIEW, TX 79072
(806) 293-4855
(806) 293-2804
Mailing address
200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025-1048
(215) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
115199
TX
332BN1400X
Nursing Facility Supplies (DME)
118925
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
118925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013627
—
TX
05
—
021947901
—
TX
Enumeration date
06/23/2006
Last updated
09/02/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers