Falcon Lake Health Care, LTD.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

005353 Issued in TX

Legal business name

FALCON LAKE HEALTH CARE, LTD.

Doing business as

Falcon Lake Nursing Home

Practice address

1434 Stop14B
200 Carla
Zapata, TX 78076-2812

Phone

(956) 765-3040

NPI assigned

Jul 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jagdish C. Gupta

Title

Sec./Treasurer -General Partner

Phone

(337) 652-0755

Specialties & licenses 1

Addresses

Other names 1

• Falcon Lake Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447283221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 STOP14B",
            "address_2": "200 CARLA",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780762812",
            "telephone_number": "956-765-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 STOP14B",
            "address_2": "200 CARLA",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780762812",
            "telephone_number": "956-765-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON LAKE HEALTH CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SEC./TREASURER -GENERAL PARTNER",
        "authorized_official_telephone_number": "337-652-0755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "005353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falcon Lake Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Falcon Lake Health Care, LTD (Falcon Lake Nursing Home)
• Falcon Lake Nursing Home, LLC
• Fortaleza Home Care, LLC
• Kaitlyn M Garcia, MS
• Olga Eloisa Garcia, SLPA
• Rafael Eduardo Garcia, APRN, FNP-BC

• Nursing Facility/Intermediate Care Facility in Zapata, TX
• Providers in Zapata, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.