Organization Active NPI

Mundo de Amor Adult Day Care, LLC.

  • Adult Day Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1326390949
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MUNDO DE AMOR ADULT DAY CARE, LLC.
Practice address
4606 E Southcross Blvd # 103
San Antonio, TX 78222-4911
Phone
(210) 648-0238
Fax
(844) 274-1062
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Mrs. Evelyn Diaz
Title
Owner/Admin
Phone
(210) 896-8139

Specialties & licenses 1

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

Addresses

Primary practice location

4606 E Southcross Blvd # 103
San Antonio, TX 78222-4911

Mailing address

4606 E Southcross Blvd
102
San Antonio, TX 78222-4911

Other identifiers 1

IdentifierTypeStateIssuer
4551971952MedicaidTX

National Provider Directory

National Provider Directory

Locations

4606 E Southcross Blvd
#102
San Antonio, TX 78222

4606 E Southcross Blvd
#103
San Antonio, TX 78222
Phone (210) 648-0238

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1326390949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E SOUTHCROSS BLVD",
            "address_2": "102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782224911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E SOUTHCROSS BLVD # 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782224911",
            "telephone_number": "210-648-0238",
            "fax_number": "844-274-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDO DE AMOR ADULT DAY CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "210-896-8139",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4551971952",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.