Provider Demographics
NPI:1134324189
Name:HERMOSO CARINO ADULT DAY CARE, LLC
Entity Type:Organization
Organization Name:HERMOSO CARINO ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-283-1133
Mailing Address - Street 1:2900 S CAGE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-9383
Mailing Address - Country:US
Mailing Address - Phone:956-283-1133
Mailing Address - Fax:956-283-0639
Practice Address - Street 1:2900 S CAGE BLVD STE A
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-9383
Practice Address - Country:US
Practice Address - Phone:956-283-1133
Practice Address - Fax:956-283-0639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care