Organization Active NPI

Mission Health Care, Inc

  • Adult Day Care Clinic/Center
  • Midland, TX
National Provider Identifier
1669530382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
116776 Issued in TX
Legal business name
MISSION HEALTH CARE, INC
Practice address
4500 W Illinois Ave Ste 112
Midland, TX 79703-5484
Phone
(432) 522-1221
Fax
(432) 699-5710
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Terry Smith
Title
Executive Director
Phone
(432) 522-1221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 116776 TX Primary

Addresses

Primary practice location

4500 W Illinois Ave Ste 112
Midland, TX 79703-5484

Mailing address

4500 W Illinois Ave Ste 112
Midland, TX 79703-5484
Phone (432) 522-1221

Other identifiers 1

IdentifierTypeStateIssuer
0003284000MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Mission Health Care Inc2 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.

Locations

4500 W Illinois Ave
Ste 112
Midland, TX 79703
Phone (432) 522-1221

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669530382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W ILLINOIS AVE STE 112",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035484",
            "telephone_number": "432-522-1221",
            "fax_number": "432-699-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W ILLINOIS AVE STE 112",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035484",
            "telephone_number": "432-522-1221",
            "fax_number": "432-699-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "432-522-1221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "116776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003284000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.