CGM Progressive Services LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

120132 Issued in TX

Legal business name

CGM PROGRESSIVE SERVICES LLC

Doing business as

Su Casa Adult Day Care

Practice address

1305 E Juarez St
Pharr, TX 78577-4316

Phone

(956) 702-3870

Fax

(956) 702-3875

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Denise Y Guerra

Title

Managing Member/Administrator

Phone

(956) 702-3870

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Su Casa Adult Day Care Doing business as

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1982891917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E JUAREZ ST",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785774316",
            "telephone_number": "956-702-3870",
            "fax_number": "956-702-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E JUAREZ ST",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785774316",
            "telephone_number": "956-702-3870",
            "fax_number": "956-702-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGM PROGRESSIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGING MEMBER/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-702-3870",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "120132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL NUTRITION PROGRAM",
            "identifier": "TX-108-6084",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Su Casa Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perlita Castillo, LVN
• Rogelio Castillo, PAC
• Cassandra Castma
• Sarita Linda Cavazos, PT, DPT
• Celestial Adult Day Care, Inc.
• Niddia Theresa Champion, P.A.- C
• Mary Kate Garnette L Chancey, APRN
• Nancy G Chapa, LPC
• Jacob Chappell, PT, DPT
• Nayelli Chavero

• Adult Day Care Clinic/Center in Pharr, TX
• Providers in Pharr, 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 Oct 3, 2007; 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.