Active NPI
Blanquita'S Adult Day Care Center LLC
- Adult Day Care Clinic/Center
- Eagle Pass, TX
National Provider Identifier
1841536638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- BLANQUITA'S ADULT DAY CARE CENTER LLC
- Practice address
- 1537 S Veterans Blvd
Eagle Pass, TX 78852-6474 - Phone
- (830) 352-4013
- Fax
- (830) 752-6299
- NPI assigned
- Dec 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yolanda P. Ramon, MASTERS IN EDUCATION
- Title
- Owner/Alt. Administrator
- Phone
- (830) 352-4013
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Adult Care Home Facility | 311ZA0620X |
Addresses
Primary practice location
1537 S Veterans Blvd
Eagle Pass, TX 78852-6474
Mailing address
1537 S Veterans Blvd
Eagle Pass, TX 78852-6474
Phone (830) 352-4013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841536638 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2062581 | Blanquita'S Adult Care Center, LLC | Certificate of waiver | Jul 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
1537 S Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 352-4013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540080000000",
"number": "1841536638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 S VETERANS BLVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788526474",
"telephone_number": "830-352-4013",
"fax_number": "830-752-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 S VETERANS BLVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788526474",
"telephone_number": "830-352-4013",
"fax_number": "830-752-6299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLANQUITA'S ADULT DAY CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-24",
"last_updated": "2018-10-21",
"status": "A",
"authorized_official_last_name": "RAMON",
"authorized_official_first_name": "YOLANDA",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "OWNER/ALT. ADMINISTRATOR",
"authorized_official_telephone_number": "830-352-4013",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MASTERS IN EDUCATION"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841536638",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.