Villa Quilt of Corpus South, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000317 Issued in TX

Legal business name

VILLA QUILT OF CORPUS SOUTH, LP

Practice address

4834 Yorktown Blvd
Corpus Christi, TX 78413-5364

Phone

(361) 991-3252

Fax

(361) 242-9764

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Thomas J Witt Jr.

Title

Managing Member

Phone

(505) 797-8735

Specialties & licenses 1

Addresses

Other names 1

• Villa of Corpus Christi South Doing business as

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174724710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 YORKTOWN BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135364",
            "telephone_number": "361-991-3252",
            "fax_number": "361-242-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 YORKTOWN BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135364",
            "telephone_number": "361-991-3252",
            "fax_number": "361-242-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA QUILT OF CORPUS SOUTH, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-797-8735",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa of Corpus Christi South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aileen Michelle Decierdo Vidal, MD
• Nikki Lynn Viersen, DC
• Julia Camille Vigesaa
• Vijay K Bindingnavele MD PA
• Villa Quilt of Corpus Northwest LP
• Rebecca Leigh Villafranco
• Danielle Villafuerte
• Ericka Marie Villagomez, MS, CCC-SLP
• Joshua Villalobos
• Nicholas Noel Villalobos

• Assisted Living Facility in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.