Mi Eden Adult Day Care, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

251T00000X Issued in TX

Legal business name

MI EDEN ADULT DAY CARE, LLC

Practice address

7016 S Cage Blvd
Pharr, TX 78577-9179

Phone

(956) 783-0606

Fax

(956) 783-0703

NPI assigned

Jan 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosie I Vasquez

Title

Owner

Phone

(956) 783-0606

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1003146077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785779179",
            "telephone_number": "956-783-0606",
            "fax_number": "956-783-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785779179",
            "telephone_number": "956-783-0606",
            "fax_number": "956-783-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI EDEN ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-783-0606"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "TX",
            "license": "251T00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Pharr, TX
• Providers in Pharr, TX by specialty
• PACE Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.