Organization Active NPI

Cliff Haven Adult Day Health Care Inc

Doing business as Arlington Adult Day Health Care

  • Adult Day Care Clinic/Center
  • Pantego, TX
National Provider Identifier
1194931360
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CLIFF HAVEN ADULT DAY HEALTH CARE INC
Doing business as
Arlington Adult Day Health Care
Practice address
2117 Roosevelt Dr
Suite B
Pantego, TX 76013-5936
Phone
(817) 795-8066
Fax
(682) 651-4532
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Cheri Beth Chong, M.A.,PHD.
Title
President
Phone
(817) 795-8066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Respite Care 385H00000X 118770 TX

Addresses

Primary practice location

2117 Roosevelt Dr
Suite B
Pantego, TX 76013-5936

Mailing address

2117 Roosevelt Dr
Suite B
Pantego, TX 76013-5936
Phone (817) 795-8066

Other identifiers 1

IdentifierTypeStateIssuer
000303600MedicaidTX

Other names 1

  • Arlington Adult Day Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

2117 Roosevelt Dr
Ste B
Dwg, TX 76013
Phone (817) 795-8066

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1194931360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 ROOSEVELT DR",
            "address_2": "SUITE B",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760135936",
            "telephone_number": "817-795-8066",
            "fax_number": "682-651-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 ROOSEVELT DR",
            "address_2": "SUITE B",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760135936",
            "telephone_number": "817-795-8066",
            "fax_number": "682-651-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFF HAVEN ADULT DAY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-795-8066",
        "authorized_official_credential": "M.A.,PHD."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TX",
            "license": "118770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000303600",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pantego, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.