La Jarra Adult Day Care, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LA JARRA ADULT DAY CARE, LLC

Practice address

12601 Las Majadas Ranch Rd
Raymondville, TX 78580

Phone

(956) 699-2179

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Fred Ballard

Title

Owner

Phone

(512) 423-0178

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1124417506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 LAS MAJADAS RANCH RD",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785800149",
            "telephone_number": "956-699-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 LAS MAJADAS RANCH RD",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "78580",
            "telephone_number": "956-699-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Fm 3168",
            "address_purpose": "LOCATION",
            "city": "Raymondville",
            "state": "TX",
            "postal_code": "785803606",
            "country_code": "US",
            "telephone_number": "956-689-1860 x237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12601 Las Majadas Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Raymondville",
            "state": "TX",
            "postal_code": "78580",
            "country_code": "US",
            "telephone_number": "956-699-2179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA JARRA ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-423-0178"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W. Kristensen and Albert L. Smith
• K & K Care Inc.
• Kids Skills LLC
• Kind Care Home Health Services, LLC
• John W Kristensen, M.D.
• La Jarra Assisted Living Facility
• Sandra Reyes Lopez, REGISTERED DIETICIAN
• Laura Ann Loya, PTA
• Gustavo Lugo Jr.
• Majadas Wellness Services LLC

• Mental Illness Community Based Residential Treatment Facility in Raymondville, TX
• Providers in Raymondville, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.