Organization Active NPI

El#1Adultdaycare

  • Adult Day Care Clinic/Center
  • Santa Rosa, TX
National Provider Identifier
1316075518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
115809 Issued in TX
Legal business name
EL#1ADULTDAYCARE
Practice address
11861 West Hwy 107
Santa Rosa, TX 78593
Phone
(956) 636-1018
Fax
(956) 636-1720
NPI assigned
Mar 1, 2007
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
Rene R. Vela
Title
Office Manager
Phone
(956) 636-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 115809 TX Primary

Addresses

Primary practice location

11861 West Hwy 107
Santa Rosa, TX 78593

Mailing address

11861 West Hwy 107
P.O.Box323
Santa Rosa, TX 78593
Phone (956) 636-1018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316075518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11861 WEST HWY 107",
            "address_2": "P.O.BOX323",
            "city": "SANTA ROSA",
            "state": "TX",
            "postal_code": "78593",
            "telephone_number": "956-636-1018",
            "fax_number": "956-636-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11861 WEST HWY 107",
            "city": "SANTA ROSA",
            "state": "TX",
            "postal_code": "78593",
            "telephone_number": "956-636-1018",
            "fax_number": "956-636-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL#1ADULTDAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-636-1018"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "115809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, 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.