Organization Active NPI

Simcha, Inc.

Doing business as Mi Jardin Adult Day Care #1

  • Adult Day Care Clinic/Center
  • Palmview, TX
National Provider Identifier
1457429169
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SIMCHA, INC.
Doing business as
Mi Jardin Adult Day Care #1
Practice address
614 W Palma Vista Dr
Palmview, TX 78572-2142
Phone
(956) 519-1339
Fax
(956) 519-0150
NPI assigned
Dec 1, 2006
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Mr. Jose A Vela, PHARM.D
Title
Director
Phone
(956) 519-1339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

614 W Palma Vista Dr
Palmview, TX 78572-2142

Mailing address

614 W Palma Vista Dr
Palmview, TX 78572-2142
Phone (956) 519-1339

Other identifiers 3

IdentifierTypeStateIssuer
130568OtherTXDEPARTMENT OF AGING AND DISABILITY SERVICES, ADC LICENSE NUMBER
003051OtherTXDEPARTMENT OF AGING AND DISABILITY SERVICES, ADC VENDOR/FACILITY ID
000305100MedicaidTX

Other names 1

  • Mi Jardin Adult Day Care #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mi Jardin Adult Day Care 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

614 W Palma Vista Dr
Palmview, TX 78572
Phone (956) 519-1339

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1457429169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W PALMA VISTA DR",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785722142",
            "telephone_number": "956-519-1339",
            "fax_number": "956-519-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W PALMA VISTA DR",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785722142",
            "telephone_number": "956-519-1339",
            "fax_number": "956-519-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMCHA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-519-1339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF AGING AND DISABILITY SERVICES, ADC LICENSE NUMBER",
            "identifier": "130568",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF AGING AND DISABILITY SERVICES, ADC VENDOR/FACILITY ID",
            "identifier": "003051",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000305100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Jardin Adult Day Care #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.