Organization Active NPI

Pleasant Valley Enterprizes Inc.

  • Custodial Care Facility
  • Mission, TX
National Provider Identifier
1649468950
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
120690 Issued in TX
Legal business name
PLEASANT VALLEY ENTERPRIZES INC.
Practice address
2700 E Griffin Pkwy
Suite B
Mission, TX 78572-3323
Phone
(956) 664-2663
Fax
(956) 994-9426
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Ms. San Juanita Patricia Saenz
Title
Administrator
Phone
(956) 664-2663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 120690 TX Primary
Adult Care Home Facility 311ZA0620X 120690 TX

Addresses

Primary practice location

2700 E Griffin Pkwy
Suite B
Mission, TX 78572-3323

Mailing address

2700 E. Griffin Parkway
Suite B
Mission, TX 78572
Phone (956) 664-2663

Other identifiers 1

IdentifierTypeStateIssuer
TX-108-6019OtherTXSPECIAL NUTRUTION PROGRAM

National Provider Directory

National Provider Directory

Locations

2700 E Griffin Pkwy
Ste B
Mission, TX 78572
Phone (956) 664-2663

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1649468950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E. GRIFFIN PARKWAY",
            "address_2": "SUITE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-664-2663",
            "fax_number": "956-994-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E GRIFFIN PKWY",
            "address_2": "SUITE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723323",
            "telephone_number": "956-664-2663",
            "fax_number": "956-994-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY ENTERPRIZES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "SAN JUANITA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-664-2663",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TX",
            "license": "120690",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "120690",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL NUTRUTION PROGRAM",
            "identifier": "TX-108-6019",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

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