Provider Demographics
NPI:1184648941
Name:NATIONAL ADULT DAY CARE, INC
Entity Type:Organization
Organization Name:NATIONAL ADULT DAY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MONICO
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:361-888-6232
Mailing Address - Street 1:619 S STAPLES ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-3334
Mailing Address - Country:US
Mailing Address - Phone:361-888-6232
Mailing Address - Fax:361-888-6871
Practice Address - Street 1:619 S STAPLES ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-3334
Practice Address - Country:US
Practice Address - Phone:361-888-6232
Practice Address - Fax:361-888-6871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care