JAN WERNER ADULT DAY CARE CENTER
NPI 1356397301
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Amarillo, TX
NPI Status: Active since May 25, 2006
Contact Information
3108 S. FILLMORE ST
AMARILLO, TX
ZIP 79110
Phone: (806) 374-5516
Fax: (806) 373-9446
- Organization
- Program of All-Inclusive Care for the El...
- CLIA Number: 45D1002995
- CLIA Cert. Type: Other
- CLIA Exp. Date: 08-19-2026
About JAN WERNER ADULT DAY CARE CENTER
This page provides the complete NPI Profile along with additional information for Jan Werner Adult Day Care Center, a provider established in Amarillo, Texas operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1356397301 assigned on May 2006. The practitioner's primary taxonomy code is 251T00000X with license number 116635 (TX). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Jan Werner Adult Day Care Center. The authorized official of this NPI record is Mrs. Kristen (krissy) R Hurt Rn (Executive Director)
- NPI
- 1356397301
- Provider Legal Name
- AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.
- Other Organization Name
- JAN WERNER ADULT DAY CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3108 S. FILLMORE ST AMARILLO, TX 79110
- Location Phone
- (806) 374-5516
- Location Fax
- (806) 373-9446
- Mailing Address
- 3108 S. FILLMORE ST AMARILLO, TX 79110
- Mailing Phone
- (806) 374-5516
- Mailing Fax
- (806) 373-9446
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-25-2006
- Last Update Date
- 08-27-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- License No.
- 116635
- License State
- TX
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | 003308 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H4517 | OTHER (01) | TX | CMS H NUMBER |
| 00330800 | OTHER (01) | TX | DAHS CONTRACT |
| 001012340 | OTHER (01) | TX | PACE CONTRACT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1002995
- Facility Type
- Other
- Certificate Effective Date
- August 20, 2024
- Certificate Expiration Date
- August 19, 2026
- Laboratory Director
- KRISTEN KRISSY HURT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jan Werner Adult Day Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 3 | 9 | 7 | 3 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 6 | 9 | 14 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 6 + 9 + 1 + 4 + 3 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1356397301 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356397301, enumerated in the NPI registry as an "organization" on May 25, 2006
The provider is located at 3108 S. Fillmore St Amarillo, Tx 79110 and the phone number is (806) 374-5516
This medical organization specializes in Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D1002995 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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