Organization Active NPI

Martha M. Bermejo Dba Angeles Adult Day Care

Doing business as Angeles Adult Day Care

  • Adult Day Care Clinic/Center
  • Mission, TX
National Provider Identifier
1245344209
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
117640 Issued in TX
Legal business name
MARTHA M. BERMEJO DBA ANGELES ADULT DAY CARE
Doing business as
Angeles Adult Day Care
Practice address
4100 W 3 Mile Rd. Ste 12
Mission, TX 78574
Phone
(956) 583-2233
Fax
(956) 583-2598
NPI assigned
Aug 18, 2006
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Ms. Martha M. Bermejo
Title
Owner
Phone
(956) 583-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 117640 TX Primary

Addresses

Primary practice location

4100 W 3 Mile Rd. Ste 12
Mission, TX 78574

Mailing address

4100 W 3 Mile Rd. Ste 12
Mission, TX 78574
Phone (956) 583-2233

Other names 1

  • Angeles Adult Day Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1245344209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 3 MILE RD. STE 12",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-583-2233",
            "fax_number": "956-583-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 3 MILE RD. STE 12",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-583-2233",
            "fax_number": "956-583-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA M. BERMEJO DBA ANGELES ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "BERMEJO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-583-2233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "117640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angeles Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Angeles Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.