Organization Active NPI

La Esperanza Adult Activity Center

  • Adult Day Care Clinic/Center
  • Beeville, TX
National Provider Identifier
1164628731
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
050755 Issued in TX
Legal business name
LA ESPERANZA ADULT ACTIVITY CENTER
Doing business as
D.B.A Rosie Coffeen
Practice address
302 Moore St
Beeville, TX 78102-6928
Phone
(361) 362-4999
Fax
(361) 362-4994
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Mrs. Rosie Coffeen
Title
Owner
Phone
(361) 362-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 050755 TX Primary

Addresses

Primary practice location

302 Moore St
Beeville, TX 78102-6928

Mailing address

302 Moore St
Beeville, TX 78102-6928
Phone (361) 362-4999

Other identifiers 1

IdentifierTypeStateIssuer
001001651OtherTXDADS

Other names 1

  • D.B.A Rosie Coffeen Doing business as

National Provider Directory

National Provider Directory

Locations

302 Moore St
Beeville, TX 78102
Phone (361) 362-4999

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1164628731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MOORE ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781026928",
            "telephone_number": "361-362-4999",
            "fax_number": "361-362-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MOORE ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781026928",
            "telephone_number": "361-362-4999",
            "fax_number": "361-362-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA ESPERANZA ADULT ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "COFFEEN",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-362-4999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "050755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS",
            "identifier": "001001651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.B.A Rosie Coffeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.