Organization Active NPI

Mi Segunda Casa Adult Day Care

  • Adult Day Care Clinic/Center
  • Laredo, TX
National Provider Identifier
1942698360
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MI SEGUNDA CASA ADULT DAY CARE
Practice address
1605 E Hillside Rd Ste 2
Laredo, TX 78041-3460
Phone
(956) 608-2053
Fax
(956) 608-3623
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Mr. Juan R Vazquez
Title
Director/Activities Coordinattor
Phone
(956) 251-2253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1605 E Hillside Rd Ste 2
Laredo, TX 78041-3460

Mailing address

1605 E Hillside Rd Ste 2
Laredo, TX 78041-3460
Phone (956) 608-2053

National Provider Directory

National Provider Directory

Locations

1605 E Hillside Rd
Ste 2
Laredo, TX 78041
Phone (956) 725-5066

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1942698360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E HILLSIDE RD STE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413460",
            "telephone_number": "956-608-2053",
            "fax_number": "956-608-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E HILLSIDE RD STE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413460",
            "telephone_number": "956-608-2053",
            "fax_number": "956-608-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI SEGUNDA CASA ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR/ACTIVITIES COORDINATTOR",
        "authorized_official_telephone_number": "956-251-2253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.