Active NPI
Mi Segunda Casa Adult Day Care
- Adult Day Care Clinic/Center
- Laredo, TX
National Provider Identifier
1942698360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.