Active NPI
La Guadalupana Adult Day Care, Inc.
- Adult Day Care Clinic/Center
- Eagle Pass, TX
National Provider Identifier
1457550410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LA GUADALUPANA ADULT DAY CARE, INC.
- Practice address
- 3407 Cathleen
Eagle Pass, TX 78852-5894 - Phone
- (830) 757-8130
- Fax
- (830) 757-8160
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Garza
- Title
- Administrator
- Phone
- (830) 757-8130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3407 Cathleen
Eagle Pass, TX 78852-5894
Mailing address
338 N. Monroe St.
Eagle Pass, TX 78852
Phone (830) 757-8130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001014284 | Other | TX | CONTRACT NUMBER |
| D001014284 | Other | TX | CONTRACT NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- La Guadalupana Adult Day Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Harlingen, TX
- NPI 1225238652
Locations
3407 Cathleen
Eagle Pass, TX 78852
Phone (830) 757-8130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560902400000",
"number": "1457550410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 N. MONROE ST.",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "78852",
"telephone_number": "830-757-8130",
"fax_number": "830-757-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 CATHLEEN",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788525894",
"telephone_number": "830-757-8130",
"fax_number": "830-757-8160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA GUADALUPANA ADULT DAY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2019-06-19",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "830-757-8130",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTRACT NUMBER",
"identifier": "001014284",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTRACT NUMBER",
"identifier": "D001014284",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.