Organization Active NPI

Grace Center Adult Day Care & Recreation

  • Adult Day Care Clinic/Center
  • Weslaco, TX
National Provider Identifier
1154500429
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
119889 Issued in TX
Legal business name
GRACE CENTER ADULT DAY CARE & RECREATION
Doing business as
Grace Center Adult Day Care & Recreation
Practice address
502 W Railroad St
Weslaco, TX 78596-5942
Phone
(956) 969-8786
Fax
(956) 969-8954
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Samuel Vallejo SanchezNPI 1003979402
Title
Owner
Phone
(956) 969-8786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 119889 TX Primary

Addresses

Primary practice location

502 W Railroad St
Weslaco, TX 78596-5942

Mailing address

502 W Railroad St
Weslaco, TX 78596-5942
Phone (956) 969-8786

Other identifiers 1

IdentifierTypeStateIssuer
001013117MedicaidTX

Other names 1

  • Grace Center Adult Day Care & Recreation Doing business as

National Provider Directory

National Provider Directory

Locations

502 W Railroad St
Weslaco, TX 78596
Phone (956) 969-8786

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1154500429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W RAILROAD ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965942",
            "telephone_number": "956-969-8786",
            "fax_number": "956-969-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W RAILROAD ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965942",
            "telephone_number": "956-969-8786",
            "fax_number": "956-969-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CENTER ADULT DAY CARE & RECREATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "VALLEJO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-969-8786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "119889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Center Adult Day Care & Recreation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.