Provider Demographics
NPI:1790058816
Name:NUESTRA FAMILIA ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:NUESTRA FAMILIA ADULT DAY CARE, INC.
Other - Org Name:NUESTRA FAMILIA ADULT DAY CARE NO. 2
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALERIO-SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-789-3354
Mailing Address - Street 1:1010 S UTAH AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5861
Mailing Address - Country:US
Mailing Address - Phone:956-969-0204
Mailing Address - Fax:956-969-1715
Practice Address - Street 1:621 E BUSINESS HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6355
Practice Address - Country:US
Practice Address - Phone:956-973-2200
Practice Address - Fax:956-968-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX129963261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001014497Medicaid