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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000303600 | Medicaid | TX |
Other names 1
- Arlington Adult Day Health Care
National Provider Directory
National Provider DirectoryLocations
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
- Georgiana Carpenter, LPC
- Erika Castillo-Emshoff, LPC
- Cec Pantego ER Physicians PLLC
- Centerwell Senior Primary Care (TX) PA (Centerwell Senior Primary Care-Arlington)
- Certiscreen Health Lab, LLC
- Brandi Nicole Cline, LMT
- Comfort Hands Health Care Services LLC
- Complete Emergency Care Pantego LLC
- Elicia Cook, BCBA
- Micheal Crawford, MTI
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.