Saving Grace Adult Daycare

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

200451 Issued in TX

Legal business name

SAVING GRACE ADULT DAYCARE

Practice address

100N Expressway 77
H-1
Raymondville, TX 78580-4000

Phone

(979) 236-5642

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sharonda Mytika Romo

Title

Owner/LPN

Phone

(979) 236-5642

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1558507822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100N EXPRESSWAY 77",
            "address_2": "H-1",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804000",
            "telephone_number": "979-236-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100N EXPRESSWAY 77",
            "address_2": "H-1",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804000",
            "telephone_number": "979-236-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVING GRACE ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_middle_name": "MYTIKA",
        "authorized_official_title_or_position": "OWNER/LPN",
        "authorized_official_telephone_number": "979-236-5642",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "200451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Robinson, M. D.
• Anakaren Rodriguez, LMSW
• Cosme Gabriel Rubalcaba, MS,RDN,LD
• Monica Lisa Saenz-Castillo, PA-C
• Dyvette Nori Salinas, LPC
• Aslam Ahmed Shariff, MD
• Albert L Smith, M.D., P.A.
• Pedro Soria, LVN
• Stephanie Renee Soria, RN
• Shawn Kevin Spanihel, P.T.

• Adult Care Home Facility in Raymondville, TX
• Providers in Raymondville, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.