Active NPI
Jaime Garza
- Adult Day Care Clinic/Center
- Edinburg, TX
National Provider Identifier
1487074563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 139256
- Practice address
- 215 E Cano St
Edinburg, TX 78539-4509 - Phone
- (956) 292-0444
- Fax
- (956) 292-0446
- NPI assigned
- Apr 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 139256 | TX | Primary |
Addresses
Primary practice location
215 E Cano St
Edinburg, TX 78539-4509
Mailing address
PO Box 731
La Villa, TX 78562-0731
Phone (956) 292-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139256 | Other | TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES ADULT DAY CARE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139256 | TX | MD | Adult Day Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1487074563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731",
"city": "LA VILLA",
"state": "TX",
"postal_code": "785620731",
"telephone_number": "956-292-0444",
"fax_number": "956-292-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E CANO ST",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785394509",
"telephone_number": "956-292-0444",
"fax_number": "956-292-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "JAIME",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "TX",
"license": "139256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES ADULT DAY CARE LICENSE",
"identifier": "139256",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.