La Bahia Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

120217 Issued in TX

Legal business name

LA BAHIA ADULT DAY CARE

Practice address

446 N Jefferson St
Goliad, TX 77963-4022

Phone

(361) 645-8797

Fax

(361) 645-4019

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne Pendergraph

Title

Owner/Administrator

Phone

(361) 645-8797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1639367287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 N JEFFERSON ST",
            "city": "GOLIAD",
            "state": "TX",
            "postal_code": "779634022",
            "telephone_number": "361-645-8797",
            "fax_number": "361-645-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 N JEFFERSON ST",
            "city": "GOLIAD",
            "state": "TX",
            "postal_code": "779634022",
            "telephone_number": "361-645-8797",
            "fax_number": "361-645-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BAHIA ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "PENDERGRAPH",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "361-645-8797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "120217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Heryford, LPC
• Kaitlyn Hill, SLP, M.S.CCC
• Loree Jefferson, MS-SLP-CFY
• Joel Kordik, NRP
• KVM Pharmacy Solutions LLC (Goliad Pharmacy and Gifts)
• La Bahia Nursing and Rehabilitation LP
• Jessica Rae Lambeck, SLP
• Lisa Ann Martinez, COTA
• Kongyan Drew Nicely, DDS
• Alex Nunez

• Adult Day Care Clinic/Center in Goliad, TX
• Providers in Goliad, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.