Val-Rod Dba Club de Amistad

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

102237 Issued in TX

Legal business name

VAL-ROD DBA CLUB DE AMISTAD

Practice address

109 Crocker Dr
Horizon City, TX 79928-7153

Phone

(915) 852-5006

Fax

(915) 852-2792

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Amador Rodriguez

Title

Administrator

Phone

(915) 859-8671

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1295894749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 HORIZON BLVD STE G",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799274692",
            "telephone_number": "915-860-8690",
            "fax_number": "915-859-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CROCKER DR",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287153",
            "telephone_number": "915-852-5006",
            "fax_number": "915-852-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL-ROD DBA CLUB DE AMISTAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "AMADOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-859-8671"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "102237",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146065672",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philippe Taylor, PHARMD
• Zidane F. Tindongkeng, PHARMACIST
• United Orthodontics of Horizon, PLLC
• Teresa Crystal Urbina, LPC
• V & D Personal Assistance Services LLC
• Daniela Cassandra Valadez
• Ricardo Rene Valle, M.A., LPC
• Mario Ray Vallejo, RPH. PHARM.D.
• Eugenia Nayeli Vega, LPC-ASSOCIATE
• Vida Y Amor Personal Assistance Services LLC

• Adult Day Care Clinic/Center in Horizon City, TX
• Providers in Horizon City, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.