Organization Active NPI

Memory Lane Healthcare Services, Inc.

  • Nursing Care Agency
  • Edinburg, TX
National Provider Identifier
1538475918
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MEMORY LANE HEALTHCARE SERVICES, INC.
Practice address
312 W University Dr
Edinburg, TX 78539-3302
Phone
(956) 287-2999
Fax
(956) 287-2998
NPI assigned
Aug 24, 2010
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Letisia Moreno Caballero, RN
Title
Administrator
Phone
(956) 287-2999

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU Primary
Respite Care 385H00000X NU

Addresses

Primary practice location

312 W University Dr
Edinburg, TX 78539-3302

Mailing address

1207 Joann St
Edinburg, TX 78539-6017
Phone (956) 287-2999

National Provider Directory

National Provider Directory

Locations

312 W University Dr
Edinburg, TX 78539
Phone (956) 287-2999

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1538475918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 JOANN ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396017",
            "telephone_number": "956-287-2999",
            "fax_number": "956-287-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393302",
            "telephone_number": "956-287-2999",
            "fax_number": "956-287-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY LANE HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "LETISIA",
        "authorized_official_middle_name": "MORENO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-287-2999",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 11, 2025; 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.