Organization Active NPI

Abba Covenant, Inc

Doing business as Kids @ La Mision

  • Rehabilitation Clinic/Center
  • Roma, TX
National Provider Identifier
1013091917
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ABBA COVENANT, INC
Doing business as
Kids @ La Mision
Practice address
510 E Bravo Blvd
Roma, TX 78584-5612
Phone
(956) 849-5552
Fax
(956) 847-1177
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Esmeralda Chavez
Title
Ceo
Phone
(956) 849-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X TX Primary

Addresses

Primary practice location

510 E Bravo Blvd
Roma, TX 78584-5612

Mailing address

510 E Bravo Blvd
Roma, TX 78584-5612
Phone (956) 849-5552

Other names 1

  • Kids @ La Mision Doing business as

National Provider Directory

National Provider Directory

Locations

510 E Bravo Blvd
Roma, TX 78584
Phone (956) 849-5552

510 E Bravo Blvd
#A
Roma, TX 78584

510 E Bravo Blvd
Ste A
Roma, TX 78584
Phone (956) 849-5552

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013091917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E BRAVO BLVD",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845612",
            "telephone_number": "956-849-5552",
            "fax_number": "956-847-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E BRAVO BLVD",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845612",
            "telephone_number": "956-849-5552",
            "fax_number": "956-847-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA COVENANT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ESMERALDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-849-5552"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids @ La Mision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.