KISSITO HEALTHCARE MIDLAND
NPI 1669771366
Skilled Nursing Facility in Midland, TX

Active since March 21, 2011
3203 SAGE ST, MIDLAND, TX 79705(432) 683-5403(432) 682-5105 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kissito Healthcare Midland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KISSITO HEALTHCARE MIDLAND (NPI 1669771366) is a healthcare organization registered as a skilled nursing facility in Midland, Texas and active in the NPI registry since March 2011. The organization lists Thomas Clarke, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669771366
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAMITY FELLOWSERVE OF MIDLAND, INC.
Location Address3203 SAGE STMidland, TX 79705-5711
Mailing Address5228 Valleypointe Pkwy, Bldg. B, Suite 1Roanoke, VA 24019-3074 · (540) 265-0322 · Fax (540) 265-0305
Fax(432) 682-5105
Organization SubpartYesParent: Amity Fellowserve, Inc.
Authorized OfficialThomas ClarkeCeo · (540) 265-0322
Enumeration DateMarch 21, 2011
Last NPPES UpdateNovember 22, 2011
NPI 1669771366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 132737
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3203 SAGE ST, Midland, TX 79705

Other Names 1

Doing Business AsKissito Healthcare Midland

Other Identifiers 3

Medicare OSCAR/certification675910TX
Other004280TX · Fac. Id
Medicaid001019588TX

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3203 SAGE ST
MIDLAND, TX 79705
Skilled Nursing Facility
3203 SAGE ST
MIDLAND, TX 79705
Skilled Nursing Facility
3203 SAGE ST
MIDLAND, TX 79705
Occupational Therapist
3203 SAGE ST
MIDLAND, TX 79705
Skilled Nursing Facility
3203 SAGE ST
MIDLAND, TX 79705
Skilled Nursing Facility
3203 SAGE ST
MIDLAND, TX 79705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amity Fellowserve Of Midland, Inc.'s NPI number?

The NPI number for Amity Fellowserve Of Midland, Inc. is 1669771366. It was assigned to this organization in the NPPES registry on March 21, 2011. The provider is doing business as Kissito Healthcare Midland.

Where is Amity Fellowserve Of Midland, Inc. located?

Amity Fellowserve Of Midland, Inc. is located at 3203 Sage St, Midland, TX 79705. The listed phone number is (432) 683-5403.

What is Amity Fellowserve Of Midland, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Amity Fellowserve Of Midland, Inc. was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.