Organization Active NPI

La Gran Vida Adult Daycare

  • Adult Care Home Facility
  • El Paso, TX
National Provider Identifier
1992028120
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LA GRAN VIDA ADULT DAYCARE
Practice address
8825 N Loop Dr Ste 114
El Paso, TX 79907-4606
Phone
(915) 329-4161
NPI assigned
Mar 2, 2010
Last updated
Mar 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Dr. Jean R Joseph-Vanderpool, MD
Title
Associate Ceo
Phone
(915) 241-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X TX Primary

Addresses

Primary practice location

8825 N Loop Dr Ste 114
El Paso, TX 79907-4606

Mailing address

8825 N Loop Dr Ste 114
El Paso, TX 79907-4606

National Provider Directory

National Provider Directory

Locations

8825 N Loop Dr
Ste 114
El Paso, TX 79907
Phone (915) 329-4161

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1992028120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 N LOOP DR STE 114",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 N LOOP DR STE 114",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074606",
            "telephone_number": "915-329-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GRAN VIDA ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH-VANDERPOOL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSOCIATE CEO",
        "authorized_official_telephone_number": "915-241-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.