My Grandma'S House

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MY GRANDMA'S HOUSE

Practice address

3185 Diego Aidan Dr
El Paso, TX 79938-2744

Phone

(255) 440-2946

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Lear Riojas

Title

Executive Director

Phone

(254) 402-9466

Specialties & licenses 2

Addresses

Other names 1

• La Casa De Mi Abuela Other name

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1003682915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 DIEGO AIDAN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382744",
            "telephone_number": "254-402-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 DIEGO AIDAN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382744",
            "telephone_number": "255-440-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Ventana Dr",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308097461",
            "country_code": "US",
            "telephone_number": "254-402-9466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 23rd St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611083550",
            "country_code": "US",
            "telephone_number": "254-402-9466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY GRANDMA'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "RIOJAS",
        "authorized_official_first_name": "LEAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "254-402-9466"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Casa De Mi Abuela",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Care Home Facility in El Paso, TX
• Providers in El Paso, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.