Organization Active NPI

El Palacio Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • El Paso, TX
National Provider Identifier
1104196674
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
133190 Issued in TX
Legal business name
EL PALACIO ADULT DAY CARE, LLC
Practice address
11150 Montwood Dr
Suite B
El Paso, TX 79936-4259
Phone
(915) 599-2442
Fax
(915) 599-2442
NPI assigned
Dec 30, 2011
Last updated
Dec 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Mr. George Fernandez
Title
Director
Phone
(915) 599-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 133190 TX Primary

Addresses

Primary practice location

11150 Montwood Dr
Suite B
El Paso, TX 79936-4259

Mailing address

11150 Montwood Dr
Suite B
El Paso, TX 79936-4259
Phone (915) 599-2442

National Provider Directory

National Provider Directory
Tax ID family
El Palacio Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

11150 Montwood Dr
Ste B
El Paso, TX 79936
Phone (915) 599-2442

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1104196674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 MONTWOOD DR",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364259",
            "telephone_number": "915-599-2442",
            "fax_number": "915-599-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 MONTWOOD DR",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364259",
            "telephone_number": "915-599-2442",
            "fax_number": "915-599-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PALACIO ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-599-2442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "133190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.