Organization Active NPI

Cruz Personal Care Home

  • Mental Illness Community Based Residential Treatment Facility
  • Devine, TX
National Provider Identifier
1821253030
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
000599 Issued in TX
Legal business name
CRUZ PERSONAL CARE HOME
Practice address
730 County Road 664
Devine, TX 78016-4685
Phone
(830) 665-4801
NPI assigned
Jul 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Melissa Cruz Rodriguez
Title
Owner
Phone
(830) 665-4801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 000599 TX Primary

Addresses

Primary practice location

730 County Road 664
Devine, TX 78016-4685

Mailing address

730 County Road 664
Devine, TX 78016-4685
Phone (830) 665-4801

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1821253030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COUNTY ROAD 664",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780164685",
            "telephone_number": "830-665-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 COUNTY ROAD 664",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780164685",
            "telephone_number": "830-665-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-665-4801"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "000599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.