Mi Casa Adult Daycare, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

115995 Issued in TX

Legal business name

MI CASA ADULT DAYCARE, INC

Practice address

2017 E Griffin Parkway
Mission, TX 78574

Phone

(956) 584-8484

Fax

(956) 584-9191

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Yuridia Alvarez

Title

Administrator

Phone

(956) 584-8484

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1750460531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 E GRIFFIN PARKWAY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-584-8484",
            "fax_number": "956-584-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 E GRIFFIN PARKWAY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-584-8484",
            "fax_number": "956-584-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA ADULT DAYCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "YURIDIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-584-8484"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "115995",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000307100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berenice I. Mendoza, LMSW
• Miranda Lizette Mendoza, LPA
• Metamorf Nutrition LLC
• Nicholas Anthony Kevin Metcalf, MD
• MGBR Group LLC
• Mi Cielo DME LLC
• Mi Despertar PHC LLC
• Mi Laguna Adult Day Care LLC
• Mi Tierra Adult Day Care, LLC
• Michael M Pierre-Louis,M.D.P.a.

• Developmentally Disabled Services Day Training Agency in Mission, TX
• Providers in Mission, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.