Organization Active NPI

Adam MC Care LLC

Doing business as Adam MC Care Assisted Living Facility

  • Assisted Living Facility
  • El Paso, TX
National Provider Identifier
1639525397
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
142685 Issued in TX
Legal business name
ADAM MC CARE LLC
Doing business as
Adam MC Care Assisted Living Facility
Practice address
801 Rusty Bucket CT
El Paso, TX 79932-4007
Phone
(915) 540-6865
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Rosa Cisneros, ACCOUNTANT
Title
Controller
Phone
(915) 540-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 142685 TX Primary

Addresses

Primary practice location

801 Rusty Bucket CT
El Paso, TX 79932-4007

Mailing address

801 Rusty Bucket CT
El Paso, TX 79932-4007
Phone (915) 540-6865

Other identifiers 1

IdentifierTypeStateIssuer
142685MedicaidTX

Other names 1

  • Adam MC Care Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adam MC Care Assisted Living Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1639525397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 RUSTY BUCKET CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324007",
            "telephone_number": "915-540-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 RUSTY BUCKET CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324007",
            "telephone_number": "915-540-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM MC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "915-540-6865",
        "authorized_official_credential": "ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "142685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142685",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adam MC Care Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.