VAL-ROD DBA CLUB DE AMISTAD NPI 1295894749

NPI Information

NPI: 1295894749
Provider Name: VAL-ROD DBA CLUB DE AMISTAD
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
109 CROCKER DR
HORIZON CITY, TX
ZIP 79928
Phone: (915) 852-5006
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VAL-ROD DBA CLUB DE AMISTAD is an adult day care clinic center in Horizon City, TX. VAL-ROD DBA CLUB DE AMISTAD NPI is 1295894749. The provider is registered as an organization entity type.

The provider's business location address is:

109 CROCKER DR
HORIZON CITY, TX
ZIP 79928-153
Phone: (915) 852-5006
Fax: (915) 852-2792

The provider's authorized official is Amador Rodriguez .
The authorized official title is Administrator and has the following contact phone number (915) 859-8671.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 6/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			No
2	261QA0600X	Clinic/Center	Adult Day Care	102237	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	146065672	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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