Buenavida Home and Community Services Company

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BUENAVIDA HOME AND COMMUNITY SERVICES COMPANY

Practice address

9701 Lancashire Dr N
Rockwall, TX 75087-8774

Phone

(972) 475-4047

Fax

(972) 475-4047

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Rivera Gonzales, M.S. COUNSELING

Title

Director of Programs

Phone

(972) 475-4047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1245266501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 LANCASHIRE DR N",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878774",
            "telephone_number": "972-475-4047",
            "fax_number": "972-475-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 LANCASHIRE DR N",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878774",
            "telephone_number": "972-475-4047",
            "fax_number": "972-475-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENAVIDA HOME AND COMMUNITY SERVICES COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "RIVERA",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "972-475-4047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. COUNSELING"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.