Mamasitas Adult Daycare

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

102260 Issued in TX

Legal business name

MAMASITAS ADULT DAYCARE

Practice address

4211 W State Highway 107
Edinburg, TX 78539-9461

Phone

(956) 287-7770

Fax

(956) 287-7771

NPI assigned

Sep 8, 2011

Organization subpart

No

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

Authorized official

Name

Miss Haydee Deleon

Title

Director of Operation

Phone

(956) 287-7770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1851672422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 W STATE HIGHWAY 107",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399461",
            "telephone_number": "956-287-7770",
            "fax_number": "956-287-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 W STATE HIGHWAY 107",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399461",
            "telephone_number": "956-287-7770",
            "fax_number": "956-287-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMASITAS ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "HAYDEE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "956-287-7770",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "102260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Jaime Maldonado
• Jakeb Maldonado
• Nancy Maldonado, LVN
• Sohail M Malek, MD
• Adarsh Mamachen, M.D.
• Ivana Yamilett Mangione Leon, MD
• Russaal Singh Mann
• Nashin Manohar, D.O.
• Priti M Manohar, MD
• Jacinto I Manon, MD

• Exclusive Provider Organization in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.