Organization Active NPI

Country Paradise Living, LLC

Doing business as Country Paradise Living Agency

  • Developmentally Disabled Services Day Training Agency
  • Poteet, TX
National Provider Identifier
1336059880
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COUNTRY PARADISE LIVING, LLC
Doing business as
Country Paradise Living Agency
Practice address
1208 S Donato Rd
Poteet, TX 78065-4411
Phone
(210) 551-8590
NPI assigned
Sep 8, 2026
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Hector Mario Canales
Title
Member
Phone
(210) 551-8590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1208 S Donato Rd
Poteet, TX 78065-4411

Mailing address

1208 S Donato Rd
Poteet, TX 78065-4411
Phone (210) 551-8590

Other names 1

  • Country Paradise Living Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1336059880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 S DONATO RD",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "780654411",
            "telephone_number": "210-551-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S DONATO RD",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "780654411",
            "telephone_number": "210-551-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY PARADISE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-551-8590"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Paradise Living Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poteet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.