Chavez Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

124013 Issued in TX

Legal business name

CHAVEZ PERSONAL CARE HOME

Practice address

4605 Memorial Dr
Waco, TX 76711-1360

Phone

(510) 828-0828

Fax

(254) 946-0900

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Mary A Chavez

Title

Owner

Phone

(510) 828-0828

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adeli Bonita Ybarra

  • Adult Day Care Clinic/Center
  • Waco, TX
  • NPI 1831388529
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1750537569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154846",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767154846",
            "telephone_number": "510-828-0828",
            "fax_number": "254-946-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MEMORIAL DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111360",
            "telephone_number": "510-828-0828",
            "fax_number": "254-946-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVEZ PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-828-0828",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "124013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercedes V. Charles
• Charleston Waco Operations LLC (Woodland Springs Nursing Center)
• Brittany Toni Charlot, BCBA
• Chartres, Inc. (Brazos Therapy Center)
• Ana Chatham, LCSW
• Jaime A Chavez, BT
• Melissa Lynette Chavez, SLP-ASSISTANT
• Sabrina Louise Chavez, D.D.S.
• Christina Ann Chen, M. D.
• George Chen, D.O.

• Assisted Living Facility in Waco, TX
• Providers in Waco, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.