Organization Active NPI

Las Jacarandas Assisted Living LLC

  • Adult Day Care Clinic/Center
  • Brownsville, TX
National Provider Identifier
1467726067
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LAS JACARANDAS ASSISTED LIVING LLC
Practice address
707 Villa Maria Blvd
4844 S, Paso Doble Cir,
Brownsville, TX 78520-6343
Phone
(956) 982-4495
Fax
(956) 550-0993
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Mr. Abraham Martinez Barrientes, MSN, APRN, FNP-BCNPI 1790560068
Title
Administrator
Phone
(956) 550-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

707 Villa Maria Blvd
4844 S, Paso Doble Cir,
Brownsville, TX 78520-6343

Mailing address

707 Villa Maria Blvd
Brownsville, TX 78520-6343
Phone (956) 550-0999

Other names 1

  • Las Jacarandas Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Las Jacarandas Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

707 Villa Maria Blvd
#4844S
Brownsville, TX 78520
Phone (956) 982-4495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1467726067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 VILLA MARIA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206343",
            "telephone_number": "956-550-0999",
            "fax_number": "956-550-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 VILLA MARIA BLVD",
            "address_2": "4844 S, PASO DOBLE CIR,",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206343",
            "telephone_number": "956-982-4495",
            "fax_number": "956-550-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS JACARANDAS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "BARRIENTES",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "MARTINEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-550-0999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Jacarandas Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Jacarandas Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.