Provider Demographics
NPI:1841471406
Name:EMMANUEL ADULT DAY CARE
Entity type:Organization
Organization Name:EMMANUEL ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-598-8490
Mailing Address - Street 1:1312 OBLATE AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4027
Mailing Address - Country:US
Mailing Address - Phone:956-598-8490
Mailing Address - Fax:956-598-8369
Practice Address - Street 1:1312 OBLATE AVE
Practice Address - Street 2:1120 N. CONWAY
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4027
Practice Address - Country:US
Practice Address - Phone:956-580-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103144305S00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No305S00000XManaged Care OrganizationsPoint of Service