Organization Active NPI

Cla Health Care Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Mission, TX
National Provider Identifier
1700145380
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLA HEALTH CARE SERVICES, LLC
Practice address
2138 E Griffin Pkwy
Mission, TX 78572-3225
Phone
(956) 605-7974
Fax
(956) 583-8225
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Mr. Jose Reyes Gonzalez
Title
President Ceo
Phone
(956) 605-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2138 E Griffin Pkwy
Mission, TX 78572-3225

Mailing address

2138 E Griffin Pkwy
Mission, TX 78572-3225
Phone (956) 605-7974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120920000647 TX DME Supplier - Medical Supply Company 9537317250 Practice locations: Mission, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1700145380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723225",
            "telephone_number": "956-605-7974",
            "fax_number": "956-583-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723225",
            "telephone_number": "956-605-7974",
            "fax_number": "956-583-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLA HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "956-605-7974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.