Healthcare Provider Details

I. General information

NPI: 1427451897
Provider Name (Legal Business Name): DONNA ASSISTED LIVING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 N MAIN ST
DONNA TX
78537-2753
US

IV. Provider business mailing address

522 N MAIN ST
DONNA TX
78537-2753
US

V. Phone/Fax

Practice location:
  • Phone: 956-472-5420
  • Fax:
Mailing address:
  • Phone: 956-472-5420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH N MOTURI
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 956-472-5420