NPIMap

Organization Active NPI

My Golden Years II

  • Adult Day Care Clinic/Center
  • La Grulla, TX
National Provider Identifier
1053528919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
117169 Issued in TX
Legal business name
MY GOLDEN YEARS II
Practice address
359 PVT Leopoldo Longoria St
La Grulla, TX 78548
Phone
(956) 487-4110
Fax
(956) 488-8145
NPI assigned
May 17, 2007
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
Mrs. Laura Flores
Title
Vicepresident
Phone
(956) 487-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 117169 TX Primary

Addresses

Primary practice location

359 PVT Leopoldo Longoria St
La Grulla, TX 78548

Mailing address

PO Box 419
Grulla, TX 78548-0419
Phone (956) 487-4110

National Provider Directory

National Provider Directory
Tax ID family
My Golden Years 44 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053528919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "GRULLA",
            "state": "TX",
            "postal_code": "785480419",
            "telephone_number": "956-487-4110",
            "fax_number": "956-488-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 PVT LEOPOLDO LONGORIA ST",
            "city": "LA GRULLA",
            "state": "TX",
            "postal_code": "78548",
            "telephone_number": "956-487-4110",
            "fax_number": "956-488-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GOLDEN YEARS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VICEPRESIDENT",
        "authorized_official_telephone_number": "956-487-4110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "117169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.