Coastal Bend Adult Day Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

117082 Issued in TX

Legal business name

COASTAL BEND ADULT DAY CARE, INC.

Practice address

102 Broadway
Fulton, TX 78358

Phone

(361) 729-5433

Fax

(361) 729-6612

NPI assigned

Jan 11, 2007

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joanna Sain, RN

Title

Director

Phone

(361) 229-3705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1225188592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "FULTON",
            "state": "TX",
            "postal_code": "783581147",
            "telephone_number": "361-729-5433",
            "fax_number": "361-729-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BROADWAY",
            "city": "FULTON",
            "state": "TX",
            "postal_code": "78358",
            "telephone_number": "361-729-5433",
            "fax_number": "361-729-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "SAIN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-229-3705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "117082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer George, FNP
• Carolyn R Hall, MS, CCC-SLP
• Michael Heffernan, PHD CP
• Patricia Hoefar, MED, LPC
• Nhi Nguyen

• Adult Day Care Clinic/Center in Fulton, TX
• Providers in Fulton, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.