Organization Active NPI

Life Development

  • Adult Day Care Clinic/Center
  • Edinburg, TX
National Provider Identifier
1508137316
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LIFE DEVELOPMENT
Practice address
600 W Canton Rd
Edinburg, TX 78539-6191
Phone
(956) 380-1720
Fax
(956) 380-1718
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Mr. Rocky M Guzman
Title
Owner
Phone
(956) 457-6465

Specialties & licenses 1

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

Addresses

Primary practice location

600 W Canton Rd
Edinburg, TX 78539-6191

Mailing address

600 W Canton Rd
Edinburg, TX 78539-6191
Phone (956) 380-1720

National Provider Directory

National Provider Directory

Locations

600 W Canton Rd
Edinburg, TX 78539
Phone (956) 318-0144

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1508137316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CANTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396191",
            "telephone_number": "956-380-1720",
            "fax_number": "956-380-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CANTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396191",
            "telephone_number": "956-380-1720",
            "fax_number": "956-380-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-457-6465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 25, 2012; 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.