Vida Adult Day Care

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

VIDA ADULT DAY CARE

Practice address

815 N 7TH Ave
Crystal City, TX 78839-2611

Phone

(830) 374-7685

Fax

(830) 374-9996

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

Ray Valdez

Title

Program Director

Phone

(830) 374-7685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1174819643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NORTH 7TH",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "78839",
            "telephone_number": "830-374-7685",
            "fax_number": "830-374-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N 7TH AVE",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788392611",
            "telephone_number": "830-374-7685",
            "fax_number": "830-374-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "830-374-7685"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirella Rodriguez, LVN
• Vivek Singh, DDS
• Charmaine Mary Sulaica, NP
• The Children'S Clinic of Dimmit & Zavala
• Teresa Rios Valadez, FNP- BC
• Vida Nueva Adult Day Care
• Vida Y Salud Health Systems Inc
• Vida Y Salud-Health Systems Inc
• Women'S Clinic of Dimmit and Zavala P.a.
• Kiesha Sherree Wright, PA-C

• PACE Provider Organization in Crystal City, TX
• Providers in Crystal City, TX by specialty
• PACE Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.