Provider Demographics
NPI:1275663452
Name:TORRE-BACA, INC.
Entity Type:Organization
Organization Name:TORRE-BACA, INC.
Other - Org Name:CARINO ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOKESWARA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KALAKOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-522-9013
Mailing Address - Street 1:2410 RUSSELL AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8423
Mailing Address - Country:US
Mailing Address - Phone:956-550-8595
Mailing Address - Fax:956-550-9141
Practice Address - Street 1:2410 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8423
Practice Address - Country:US
Practice Address - Phone:956-550-8595
Practice Address - Fax:956-550-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000307700Medicaid