NPI Code Detail JSON Logo

1265013338 NPI number — BELLA VIDA SENIOR SERVICES LLC DBA BELLA VIDA ADULT DAY CARE

NPI Number: 1265013338
Health Care Provider/Practitioner: BELLA VIDA SENIOR SERVICES LLC DBA BELLA VIDA ADULT DAY CARE

Information about “1265013338” NPI (BELLA VIDA SENIOR SERVICES LLC DBA BELLA VIDA ADULT DAY CARE) exists in 1265013338 in HTML format HTML  |  1265013338 in plain Text format TXT  |  1265013338 in PDF (Portable Document Format) PDF  |  1265013338 in an XML format XML  formats.

NPI Number : 1265013338 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265013338",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BELLA VIDA SENIOR SERVICES LLC DBA BELLA VIDA ADULT DAY CARE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2866 SWEET ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROWNSVILLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78521-2855",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-590-7303",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "794 PAREDES LINE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROWNSVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78521-2442",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-590-7303",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2021",
    "LastUpdateDate": "10/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GUERRERO",
    "AuthorizedOfficialFirstName": "ADRIANA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "956-590-7303",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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