Black Casino LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

149376 Issued in TX

Legal business name

BLACK CASINO LLC

Doing business as

Day Break Adult Day Care

Practice address

302 Washington St Suite B
Laredo, TX 78040

Phone

(956) 726-1812

Fax

(956) 726-1270

NPI assigned

Mar 6, 2009

Last updated

Jun 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Padilla

Title

Secretary

Phone

(956) 726-1812

Specialties & licenses 2

Addresses

Other names 1

• Day Break Adult Day Care Doing business as

Locations

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1093956831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON SUITE B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78040",
            "telephone_number": "956-726-1812",
            "fax_number": "956-726-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST SUITE B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78040",
            "telephone_number": "956-726-1812",
            "fax_number": "956-726-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK CASINO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "956-726-1812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "149376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Break Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bio-Medical Applications of Texas Inc (Bma South Laredo)
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• Alex Joseph Blanco, MD
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• Blanquita's Palomitas, Inc
• Adriana Blasco-Rubio, DPC, LPC-S
• Blest Homecare Services

• Adult Day Care Clinic/Center in Laredo, TX
• Providers in Laredo, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.