Palm Villa Adult Daycare Facility

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PALM VILLA ADULT DAYCARE FACILITY

Practice address

2308 Hwy 83 Ste D
Penitas, TX 78576-8399

Phone

(956) 584-6700

Fax

(956) 583-7793

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Medina

Title

Ceo

Phone

(956) 584-6700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1700014073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 BROCK ST STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723257",
            "telephone_number": "956-584-6700",
            "fax_number": "956-583-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 HWY 83 STE D",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785768399",
            "telephone_number": "956-584-6700",
            "fax_number": "956-583-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VILLA ADULT DAYCARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-584-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Lopez III
• Anita Luna, SLP-ASSISTANT
• Sonia Medina
• Ricardo Mendez, APRN, FNP-BC
• Nuestra Cosecha DME, LLC
• Palm Village Family Clinic, LLC
• Pharmplex LTD III (Riverside Pharmacy)
• Rebecca N Contreras (Vida Abundante)
• Rebecca N Contreras (Vida Abundante Adult Day Care)
• Rocking Horse Rehab, LLC

• Adult Day Care Clinic/Center in Penitas, TX
• Providers in Penitas, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.