Active NPI
RGV Elder Health Systems, Inc
- Assisted Living Facility
- Mission, TX
National Provider Identifier
1245508407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 131994
- Legal business name
- RGV ELDER HEALTH SYSTEMS, INC
- Practice address
- 9500 Hwy 107
Mission, TX 78573-8247 - Phone
- (956) 583-8013
- Fax
- (956) 583-5120
- NPI assigned
- Dec 2, 2011
- Organization subpart
- Yes
- Parent organization
- RGV ELDER HEALTH SYSTEMS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benjamin Madrigales, LVN
- Title
- President
- Phone
- (956) 533-6825
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 131994 | TX | Primary |
Addresses
Primary practice location
9500 Hwy 107
Mission, TX 78573-8247
Mailing address
PO Box 1893
Mission, TX 78573-0031
Phone (956) 583-8013
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012462 | Medicaid | TX | |
| 1548477748 | Other | TX | NPI NUMBER FOR ANOTHER D/B/A BEST HEALTH SERVICES |
| 001015269 | Medicaid | TX |
Other names 1
- Corssroads Assisted Living
National Provider Directory
National Provider Directory- Tax ID family
- RGV Elder Health Systems Inc
- Part of
- RGV Elder Health Systems Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Mission, TX
- NPI 1548477748
Locations
9500 Highway 107
Mission, TX 78573
Phone (956) 583-8013
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Mission, TX
- NPI 1548477748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322784000000",
"number": "1245508407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1893",
"city": "MISSION",
"state": "TX",
"postal_code": "785730031",
"telephone_number": "956-583-8013",
"fax_number": "956-583-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 HWY 107",
"city": "MISSION",
"state": "TX",
"postal_code": "785738247",
"telephone_number": "956-583-8013",
"fax_number": "956-583-5120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RGV ELDER HEALTH SYSTEMS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RGV ELDER HEALTH SYSTEMS, INC",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A",
"authorized_official_last_name": "MADRIGALES",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-533-6825",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "131994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001012462",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER FOR ANOTHER D/B/A BEST HEALTH SERVICES",
"identifier": "1548477748",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001015269",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Corssroads Assisted Living",
"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 Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.