Provider Demographics
NPI:1407044159
Name:LAS MILPAS ADULT DAYCARE INC
Entity Type:Organization
Organization Name:LAS MILPAS ADULT DAYCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-781-1818
Mailing Address - Street 1:6901 S CAGE BLVD STE A & B
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-8674
Mailing Address - Country:US
Mailing Address - Phone:956-781-1818
Mailing Address - Fax:956-781-1818
Practice Address - Street 1:6901 S CAGE BLVD STE A & B
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78572-8674
Practice Address - Country:US
Practice Address - Phone:956-781-1818
Practice Address - Fax:956-781-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2022-07-21
Deactivation Date:2008-06-03
Deactivation Code:
Reactivation Date:2010-03-22
Provider Licenses
StateLicense IDTaxonomies
TX16261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD000340300Medicaid