Organization Active NPI

Dominion Senior Services, LLC

  • Adult Day Care Clinic/Center
  • Laredo, TX
National Provider Identifier
1649619446
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
136846 Issued in TX
Legal business name
DOMINION SENIOR SERVICES, LLC
Practice address
6419 McPherson Rd Ste H
Laredo, TX 78041-6215
Phone
(956) 568-3979
Fax
(956) 568-4014
NPI assigned
Jun 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Maria Elena Hinojosa
Title
Owner
Phone
(956) 568-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 136846 TX Primary

Addresses

Primary practice location

6419 McPherson Rd Ste H
Laredo, TX 78041-6215

Mailing address

6419 McPherson Rd Ste H
Laredo, TX 78041-6215
Phone (956) 568-3979

Other identifiers 1

IdentifierTypeStateIssuer
104752MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1649619446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 MCPHERSON RD STE H",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416215",
            "telephone_number": "956-568-3979",
            "fax_number": "956-568-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 MCPHERSON RD STE H",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416215",
            "telephone_number": "956-568-3979",
            "fax_number": "956-568-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "HINOJOSA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-568-3979"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "136846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104752",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.