Bamboo Adult Day Care Corp

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BAMBOO ADULT DAY CARE CORP

Practice address

2210 S Cage Blvd
Pharr, TX 78577-6897

Phone

(903) 335-2742

NPI assigned

Mar 25, 2024

Last updated

Apr 19, 2024By 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

Jason Koepke

Title

President & Ceo

Phone

(903) 335-2742

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1487404596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144014",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787144014",
            "telephone_number": "903-335-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776897",
            "telephone_number": "903-335-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO ADULT DAY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "KOEPKE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "903-335-2742"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Pharr, TX
• Providers in Pharr, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.