Organization Active NPI

Affectionate Arms

Doing business as Affectionate Arms Adult Day Healh Care

  • Adult Day Care Clinic/Center
  • Victoria, TX
National Provider Identifier
1962984484
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
145607 Issued in TX
Legal business name
AFFECTIONATE ARMS
Doing business as
Affectionate Arms Adult Day Healh Care
Practice address
3802 John Stockbauer Dr
Victoria, TX 77904-2448
Phone
(361) 578-9067
Fax
(361) 578-9088
NPI assigned
Aug 31, 2018
Last updated
Aug 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Mary Garcia
Title
Director
Phone
(361) 578-9067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 145607 TX Primary

Addresses

Primary practice location

3802 John Stockbauer Dr
Victoria, TX 77904-2448

Mailing address

3802 John Stockbauer Dr
Victoria, TX 77904-2448
Phone (361) 578-9067

Other identifiers 2

IdentifierTypeStateIssuer
145607MedicaidTX
000324200MedicaidTX

Other names 1

  • AFFECTIONATE ARMS ADULT DAY HEALH CARE Doing business as

National Provider Directory

National Provider Directory

Locations

3802 John Stockbauer Dr
Victoria, TX 77904
Phone (361) 578-9067

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1962984484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 JOHN STOCKBAUER DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042448",
            "telephone_number": "361-578-9067",
            "fax_number": "361-578-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 JOHN STOCKBAUER DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042448",
            "telephone_number": "361-578-9067",
            "fax_number": "361-578-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECTIONATE ARMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-578-9067"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "145607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145607",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000324200",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFECTIONATE ARMS ADULT DAY HEALH CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFFECTIONATE ARMS ADULT DAY HEALH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.