Organization Active NPI

Amistad Adult Daycare

  • Adult Day Care Clinic/Center
  • Eagle Pass, TX
National Provider Identifier
1487921367
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Nov 21, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.