Organization Active NPI

Abilene Adult Day Care

  • Custodial Care Facility
  • Abilene, TX
National Provider Identifier
1811070485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
116368 Issued in TX
Legal business name
ABILENE ADULT DAY CARE
Practice address
3518 S 7TH St
Abilene, TX 79605-2818
Phone
(325) 672-5742
Fax
(325) 672-5135
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Cornwell, RN
Title
Executive Director
Phone
(325) 672-5742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 116368 TX Primary

Addresses

Primary practice location

3518 S 7TH St
Abilene, TX 79605-2818

Mailing address

3518 S 7TH St
Abilene, TX 79605-2818
Phone (325) 672-5742

Other identifiers 1

IdentifierTypeStateIssuer
003306OtherTXTDADS FACILITY NUMBER

National Provider Directory

National Provider Directory

Locations

3518 S 7th St
Abilene, TX 79605
Phone (325) 672-5742

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811070485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 S 7TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796052818",
            "telephone_number": "325-672-5742",
            "fax_number": "325-672-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 S 7TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796052818",
            "telephone_number": "325-672-5742",
            "fax_number": "325-672-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "325-672-5742",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TX",
            "license": "116368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDADS FACILITY NUMBER",
            "identifier": "003306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.