Healthcare Provider Details

I. General information

NPI: 1851287999
Provider Name (Legal Business Name): LA AMISTAD ADULT CARE & ACTIVITY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 N MONROE ST
BEEVILLE TX
78102-4433
US

IV. Provider business mailing address

403 N MONROE ST
BEEVILLE TX
78102-4433
US

V. Phone/Fax

Practice location:
  • Phone: 361-358-1650
  • Fax: 361-358-8058
Mailing address:
  • Phone: 361-358-1650
  • Fax: 361-358-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: FELIPITA BASTIDA
Title or Position: ADMINISTRATOR
Credential:
Phone: 361-358-1650