La Jarra Assisted Living Facility

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LA JARRA ASSISTED LIVING FACILITY

Practice address

12615 Las Majadas Ranch Rd
Raymondville, TX 78580

Phone

(512) 423-0178

NPI assigned

Dec 9, 2014

Organization subpart

Yes

Parent organization

LA JARRA DEVELOPMENTAs reported in NPPES

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

Authorized official

Name

Fred Ballard

Title

General Manager

Phone

(512) 423-0178

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1386042208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785800520",
            "telephone_number": "512-423-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 LAS MAJADAS RANCH RD",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "78580",
            "telephone_number": "512-423-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JARRA ASSISTED LIVING FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA JARRA DEVELOPMENT",
        "enumeration_date": "2014-12-09",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "512-423-0178"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K & K Care Inc.
• Kids Skills LLC
• Kind Care Home Health Services, LLC
• John W Kristensen, M.D.
• La Jarra Adult Day Care, LLC
• Sandra Reyes Lopez, REGISTERED DIETICIAN
• Laura Ann Loya, PTA
• Gustavo Lugo Jr.
• Majadas Wellness Services LLC
• Rosa Veronica Manrique, M.D.

• Mental Illness Community Based Residential Treatment Facility in Raymondville, TX
• Providers in Raymondville, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.