Organization Active NPI

Los Primitos Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Mission, TX
National Provider Identifier
1144728049
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
148726 Issued in TX
Legal business name
LOS PRIMITOS ADULT DAY CARE LLC
Practice address
2605 W Mile 5 Rd Ste B1B2
Mission, TX 78574-0968
Phone
(956) 529-5074
Fax
(956) 529-5373
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Leslie Michelle Tovar
Title
Director
Phone
(956) 529-5074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 148726 TX Primary

Addresses

Primary practice location

2605 W Mile 5 Rd Ste B1B2
Mission, TX 78574-0968

Mailing address

2605 W Mile 5 Rd Ste B1B2
Mission, TX 78574-0968

Other identifiers 1

IdentifierTypeStateIssuer
148726OtherTXLICENCE

National Provider Directory

National Provider Directory

Locations

2605 W Mile 5 Rd
Ste B1B2
Mission, TX 78574
Phone (956) 529-5074

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1144728049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W MILE 5 RD STE B1B2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785740968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W MILE 5 RD STE B1B2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785740968",
            "telephone_number": "956-529-5074",
            "fax_number": "956-529-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS PRIMITOS ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-529-5074"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "148726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "148726",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.