Organization Active NPI

Mja Assisted Living LLC

  • Assisted Living Facility
  • McAllen, TX
National Provider Identifier
1639455363
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
104654 Issued in TX
Legal business name
MJA ASSISTED LIVING LLC
Practice address
4721 Buddy Owens Ave Apt F
McAllen, TX 78504-4825
Phone
(956) 994-0025
Fax
(956) 994-0115
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Mrs. Adora Alabado Usudan, R.N.,BSN, CCRNNPI 1093025975
Title
Owner
Phone
(956) 624-2587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 104654 TX Primary

Addresses

Primary practice location

4721 Buddy Owens Ave Apt F
McAllen, TX 78504-4825

Mailing address

4721 Buddy Owens Ave Apt F
McAllen, TX 78504-4825
Phone (956) 994-0025

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1639455363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 BUDDY OWENS AVE APT F",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044825",
            "telephone_number": "956-994-0025",
            "fax_number": "956-994-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 BUDDY OWENS AVE APT F",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044825",
            "telephone_number": "956-994-0025",
            "fax_number": "956-994-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "USUDAN",
        "authorized_official_first_name": "ADORA",
        "authorized_official_middle_name": "ALABADO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-624-2587",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N.,BSN, CCRN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "104654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.