Organization Active NPI

Ilesheim Health Clinic

  • Pediatric Skilled Nursing Facility
  • Edinburg, TX
National Provider Identifier
1245326677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
703449 Issued in TX
Legal business name
ILESHEIM HEALTH CLINIC
Practice address
1202 E Champion St
Edinburg, TX 78539-4860
Phone
(956) 316-0171
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Luz Nancy Rodriguez, RN
Title
Registered Nurse
Phone
499841834512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 703449 TX Primary

Addresses

Primary practice location

1202 E Champion St
Edinburg, TX 78539-4860

Mailing address

CMR 416 Box 777
Apo, AE 09140
DE
Phone 499841834512

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245326677",
    "addresses": [
        {
            "country_code": "DE",
            "country_name": "Germany",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CMR 416 BOX 777",
            "city": "APO",
            "state": "AE",
            "postal_code": "09140",
            "telephone_number": "499841834512",
            "fax_number": "49984183847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E CHAMPION ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394860",
            "telephone_number": "956-316-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILESHEIM HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "499841834512",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TX",
            "license": "703449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.