Provider Demographics
NPI:1437348026
Name:NEW AGE ADULT DAY CARE INC
Entity Type:Organization
Organization Name:NEW AGE ADULT DAY CARE INC
Other - Org Name:NEW AGE ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-994-3335
Mailing Address - Street 1:2701 CORNERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8464
Mailing Address - Country:US
Mailing Address - Phone:956-994-3335
Mailing Address - Fax:956-994-1026
Practice Address - Street 1:2701 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8464
Practice Address - Country:US
Practice Address - Phone:956-994-3335
Practice Address - Fax:956-994-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid