Provider Demographics
NPI:1457573230
Name:TEXAS ADULT DAY CARE CENTERS INC.
Entity Type:Organization
Organization Name:TEXAS ADULT DAY CARE CENTERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-343-1593
Mailing Address - Street 1:6406 SAINT TROPEZ ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6121
Mailing Address - Country:US
Mailing Address - Phone:361-343-1593
Mailing Address - Fax:361-334-6365
Practice Address - Street 1:3529 MORGAN AVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-2822
Practice Address - Country:US
Practice Address - Phone:361-881-8736
Practice Address - Fax:361-362-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120319261QA0600X
TX118895261QA0600X
TX114994261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000340100OtherADULT CARE PROVIDER
TX001000983OtherADULT CARE PROVIDER
TX001014580OtherADULT CARE PROVIDER