Mizpah Adult Daycare LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

12647 Issued in TX

Legal business name

MIZPAH ADULT DAYCARE LLC

Practice address

2311 S Closner Blvd
Edinburg, TX 78539-6208

Phone

(956) 387-0388

Fax

(956) 387-0210

NPI assigned

Dec 5, 2007

Last updated

Aug 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maida Perez

Title

Owner

Phone

(956) 387-0388

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1972785566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396208",
            "telephone_number": "956-387-0388",
            "fax_number": "956-387-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396208",
            "telephone_number": "956-387-0388",
            "fax_number": "956-387-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZPAH ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MAIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-387-0388"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "12647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012533",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mis Anos Felices Adult Day Care
• Mis Anos Felices Adult Day Care, L.L.C.
• Mis Horas Felices Adult Day Care LLC
• Mis Recuerdos Adult Day Care
• Lionel Stacy Mitchell, MD
• Rebekah Modesto
• Farha Mohamed, D.D.S.
• Mohammed Subhani PA (RGV Pediatric Dentistry)
• Deena Mohammed, MD
• Samee Mohammed, MD

• Adult Day Care Clinic/Center in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.