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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.