=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508005612
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GOOD TIME ADULT DAY CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2009
-----------------------------------------------------
Last Update Date | 10/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 119 W RICE ST
-----------------------------------------------------
City | FALFURRIAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78355
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-667-3440
-----------------------------------------------------
Fax | 361-667-3439
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 119 W RICE ST
-----------------------------------------------------
City | FALFURRIAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78355
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-667-3440
-----------------------------------------------------
Fax | 361-667-3439
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/DIRECTOR
-----------------------------------------------------
Name | MRS. MONICA MARIELA SALINAS I
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 956-874-8942
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------