Organization Active NPI

RGV Elder Health Systems, Inc

  • Assisted Living Facility
  • Mission, TX
National Provider Identifier
1245508407
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
131994 Issued in TX
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001012462MedicaidTX
1548477748OtherTXNPI NUMBER FOR ANOTHER D/B/A BEST HEALTH SERVICES
001015269MedicaidTX

Other names 1

  • Corssroads Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RGV Elder Health Systems Inc2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.