Organization Active NPI

Bravo Adult Day Care, Inc.

  • Nursing Care Agency
  • Laredo, TX
National Provider Identifier
1316059736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
117540 Issued in TX
Legal business name
BRAVO ADULT DAY CARE, INC.
Practice address
1205 E Hillside Rd
Laredo, TX 78041-3318
Phone
(956) 791-2366
Fax
(956) 791-6619
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Alex Garcia
Title
Facility Director
Phone
(956) 791-2366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 117540 TX Primary

Addresses

Primary practice location

1205 E Hillside Rd
Laredo, TX 78041-3318

Mailing address

1205 E Hillside Rd
Laredo, TX 78041-3318
Phone (956) 791-2366

National Provider Directory

National Provider Directory

Locations

1205 E Hillside Rd
Laredo, TX 78041
Phone (956) 728-0440

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316059736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E HILLSIDE RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413318",
            "telephone_number": "956-791-2366",
            "fax_number": "956-791-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E HILLSIDE RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413318",
            "telephone_number": "956-791-2366",
            "fax_number": "956-791-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "956-791-2366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "117540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, 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.