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PREVARIAN AL ODESSA OPERATIONS NPI 1992251870


NPI Information

NPI: 1992251870
Provider Name: PREVARIAN AL ODESSA OPERATIONS

Doing Business As: THE COURTYARDS ASSISTED LIVING AND MEMORY CARE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2222476

Address:
201 PARKS VILLAGE DR
ODESSA, TX
ZIP 79765
Phone: (432) 653-5804
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PREVARIAN AL ODESSA OPERATIONS is an assisted living facility in Odessa, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PREVARIAN AL ODESSA OPERATIONS NPI is 1992251870. The provider is registered as an organization entity type.
The provider Is Doing Business As The Courtyards Assisted Living And Memory Care.

The provider's business location address is:

201 PARKS VILLAGE DR
ODESSA, TX
ZIP 79765-986
Phone: (432) 653-5804

The provider's authorized official is H Dodd Crutcher .
The authorized official title is President and has the following contact phone number (214) 736-7000.

The CLIA number assigned to this NPI record is 45D2222476 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility142714TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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