Vida Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

132778 Issued in TX

Legal business name

VIDA ADULT DAY CARE, LLC

Practice address

301 Vogel Drive
Mercedes, TX 78570-4324

Phone

(956) 825-7205

Fax

(956) 825-7206

NPI assigned

Feb 10, 2011

Last updated

Jul 25, 2012By 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. Yolanda Balderas, R.N.

Title

President

Phone

(956) 825-7205

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1790081693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VOGEL DRIVE",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785704324",
            "telephone_number": "956-825-7205",
            "fax_number": "956-825-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VOGEL DRIVE",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785704324",
            "telephone_number": "956-825-7205",
            "fax_number": "956-825-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "BALDERAS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-825-7205",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "132778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001020174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Faith Valdivia, SLPA
• Monica Valeria Vallejo Neacato, MD
• Luis Florentino Vazquez Justiniano, M.D.
• Tyrah Jane Vela, SLP-A
• Ezequiel Veliz Caceres
• Lindamay Vierra, LPC
• Jennifer Villarreal
• Marie L Weakley
• Franklin George Wells, DDS
• Wilgus Dialysis LLC (Mercedes Dialysis)

• Adult Day Care Clinic/Center in Mercedes, TX
• Providers in Mercedes, 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 Jul 25, 2012; 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.