Active NPI
Los Primitos Adult Day Care LLC
- Adult Day Care Clinic/Center
- Mission, TX
National Provider Identifier
1144728049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 148726
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148726 | Other | TX | LICENCE |
National Provider Directory
National Provider DirectoryLocations
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.