Harlingen Villa, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

129561 Issued in TX

Legal business name

HARLINGEN VILLA, LLC

Practice address

105 Al Conway
Harlingen, TX 78550-1762

Phone

(956) 425-7035

Fax

(956) 425-6970

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brian Thomas Byrne

Title

Director of Business Development

Phone

(505) 797-8735

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Villa of Harlingen Doing business as

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1386975563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AL CONWAY",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785501762",
            "telephone_number": "956-425-7035",
            "fax_number": "956-425-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AL CONWAY",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785501762",
            "telephone_number": "956-425-7035",
            "fax_number": "956-425-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLINGEN VILLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "505-797-8735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "126095",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "129561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014244",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012975",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019536",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa of Harlingen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harlingen Surgical Center, LLC
• Harlingen Texas Emergency Center, LLC
• Harlingen Vamc
• Harlingen Vamc
• Harlingen Vamc
• Harlingen Women'S Health Clinic L.L.C
• Max Harris
• Victor H Harris
• Hartman Advanced Practice, PLLC
• Hartman Advanced Practice, PLLC

• Assisted Living Facility in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.