La Vida Divina LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

LA VIDA DIVINA LLC

Practice address

302 E Queen Isabella Blvd Ste C
Port Isabel, TX 78578-2407

Phone

(512) 696-7417

Fax

(956) 396-0555

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Priscilla Torre

Title

Administrator

Phone

(512) 696-7417

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1982247912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E QUEEN ISABELLA BLVD STE C",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782407",
            "telephone_number": "512-696-7417",
            "fax_number": "956-396-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E QUEEN ISABELLA BLVD STE C",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782407",
            "telephone_number": "512-696-7417",
            "fax_number": "956-396-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIDA DIVINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "TORRE",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-696-7417"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Port Isabel, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.