Organization Active NPI

Genesis Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Palmview, TX
National Provider Identifier
1952459299
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GENESIS ADULT DAY CARE LLC
Practice address
6920 W Expressway 83
Palmview, TX 78572-9558
Phone
(956) 583-6967
Fax
(956) 583-0484
NPI assigned
Jan 5, 2007
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Diamantina Olivares
Title
Owner/Admin
Phone
(956) 583-6967

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 119209 TX
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

6920 W Expressway 83
Palmview, TX 78572-9558

Mailing address

PO Box 497
Penitas, TX 78576-0497
Phone (956) 583-6967

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1952459299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785760497",
            "telephone_number": "956-583-6967",
            "fax_number": "956-583-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 W EXPRESSWAY 83",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785729558",
            "telephone_number": "956-583-6967",
            "fax_number": "956-583-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "DIAMANTINA",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "956-583-6967"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "119209",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.