Active NPI
Amistad Adult Daycare
- Adult Day Care Clinic/Center
- Eagle Pass, TX
National Provider Identifier
1487921367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- AMISTAD ADULT DAYCARE
- Practice address
- 2431 Del Rio Blvd
Eagle Pass, TX 78852-3216 - Phone
- (830) 773-8610
- NPI assigned
- Nov 21, 2011
- 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. Ruben Carrillo
- Title
- Director
- Phone
- (830) 776-0524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | TX | Primary |
Addresses
Primary practice location
2431 Del Rio Blvd
Eagle Pass, TX 78852-3216
Mailing address
2431 Del Rio Blvd
Eagle Pass, TX 78852-3216
Phone (830) 773-8610
National Provider Directory
National Provider DirectoryLocations
2431 Del Rio Blvd
Eagle Pass, TX 78852
Phone (830) 773-8610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321833600000",
"number": "1487921367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 DEL RIO BLVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788523216",
"telephone_number": "830-773-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 DEL RIO BLVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788523216",
"telephone_number": "830-773-8610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMISTAD ADULT DAYCARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A",
"authorized_official_last_name": "CARRILLO",
"authorized_official_first_name": "RUBEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "830-776-0524",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.