Organization
AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.
Active
Parent organization
AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.
Other names
Jan Werner Adult Day Care Center, DBA The Basics At Jan Werner
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.
Authorized official
MRS. KRISTEN (KRISSY) R HURT RN (EXECUTIVE DIRECTOR)
(806) 374-5516
Entity
Organization
Contact information
Practice address
3108 S. FILLMORE ST, AMARILLO, TX 79110-1026
(806) 374-5516
(806) 373-9446
Mailing address
3108 S. FILLMORE ST, AMARILLO, TX 79110-1026
(806) 374-5516
(806) 373-9446
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
116635
TX
261QA0600X
Adult Day Care Clinic/Center
003308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001012340
PACE CONTRACT
TX
01
—
00330800
DAHS CONTRACT
TX
01
—
H4517
CMS H NUMBER
TX
Enumeration date
05/25/2006
Last updated
08/27/2021
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