Organization Active NPI

Riverside Adult Day Care, Inc

  • Adult Day Care Clinic/Center
  • Brownsville, TX
National Provider Identifier
1831397165
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
RIVERSIDE ADULT DAY CARE, INC
Practice address
1474 W Price Rd
Suite # 1
Brownsville, TX 78520-8687
Phone
(956) 504-1799
Fax
(956) 504-2070
NPI assigned
Jul 9, 2007
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Hugo Erick Segoviano
Title
Owner/Director
Phone
(956) 504-1799

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X DADS147869 TX
Adult Day Care Clinic/Center 261QA0600X NU Primary
Community/Behavioral Health Agency 251S00000X 120365 TX
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1474 W Price Rd
Suite # 1
Brownsville, TX 78520-8687

Mailing address

1474 W. Price Rd Ste 1
Brownsville, TX 78520
Phone (956) 504-1799

Other identifiers 1

IdentifierTypeStateIssuer
001003730MedicaidTX

National Provider Directory

National Provider Directory

Locations

1474 W Price Rd
Ste 1
Brownsville, TX 78520
Phone (956) 504-1799

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1831397165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 W. PRICE RD STE 1",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78520",
            "telephone_number": "956-504-1799",
            "fax_number": "956-504-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 W PRICE RD",
            "address_2": "SUITE # 1",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208687",
            "telephone_number": "956-504-1799",
            "fax_number": "956-504-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ADULT DAY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "SEGOVIANO",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "ERICK",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "956-504-1799"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "DADS147869",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "120365",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003730",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.