NPIMap

Organization Active NPI

El Shaddai International Christian Center

Doing business as Mi Pueblito de Belen

  • Adult Day Care Clinic/Center
  • Weslaco, TX
National Provider Identifier
1538270608
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
116731 Issued in TX
Legal business name
EL SHADDAI INTERNATIONAL CHRISTIAN CENTER
Doing business as
Mi Pueblito de Belen
Practice address
723 S Airport Dr
Weslaco, TX 78596-6617
Phone
(956) 968-8814
Fax
(956) 447-8349
NPI assigned
Aug 31, 2006
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Dr. Richard L. Hill, EDD
Title
Board Treasurer
Phone
(956) 472-9234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 116731 TX Primary

Addresses

Primary practice location

723 S Airport Dr
Weslaco, TX 78596-6617

Mailing address

723 S Airport Dr
Weslaco, TX 78596-6617
Phone (956) 968-8814

Other identifiers 1

IdentifierTypeStateIssuer
000334000MedicaidTX

Other names 2

  • Mi Pueblito de Belen Doing business as
  • Templo de Adoracion 'El Shadai.' Former legal business name

National Provider Directory

National Provider Directory

Locations

723 S Airport Dr
Weslaco, TX 78596
Phone (956) 472-9234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1538270608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S AIRPORT DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966617",
            "telephone_number": "956-968-8814",
            "fax_number": "956-447-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S AIRPORT DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966617",
            "telephone_number": "956-968-8814",
            "fax_number": "956-447-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADDAI INTERNATIONAL CHRISTIAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BOARD TREASURER",
        "authorized_official_telephone_number": "956-472-9234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "116731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000334000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Pueblito de Belen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mi Pueblito de Belen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Templo de Adoracion 'El Shadai.'",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.