Canutillo Adult Day Care

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

CANUTILLO ADULT DAY CARE

Practice address

6845 Doniphan Dr Ste B
Canutillo, TX 79835-5048

Phone

(915) 222-5635

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

LCE CORRAL LLCAs reported in NPPES

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

Authorized official

Name

Lorena Corral, MANAGER

Title

Manager

Phone

(915) 222-5635

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorena Trevizo

  • Student in an Organized Health Care Education/Training Program
  • Canutillo, TX
  • NPI 1205208501
  NPD (past)

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1407227473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 DONIPHAN DR STE B",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798355048",
            "telephone_number": "915-222-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 DONIPHAN DR STE B",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798355048",
            "telephone_number": "915-222-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANUTILLO ADULT DAY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LCE CORRAL LLC",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "CORRAL",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-222-5635",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "0000000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adriana Balandran
• Alyssa Bonilla
• Monica M Carrasco-Lara
• Maria G. Casarez, LMHC
• Ruth Castanon
• Lesli Kay Castruccio, LBSW
• Marina Ceniceros, LMHC

• Point of Service in Canutillo, TX
• Providers in Canutillo, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.