LA JARRA ASSISTED LIVING FACILITY NPI 1386042208

NPI Information

  • NPI: 1386042208
  • Provider Name: LA JARRA ASSISTED LIVING FACILITY
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 12615 LAS MAJADAS RANCH RD
    RAYMONDVILLE, TX
    ZIP 78580
  • Phone: (512) 423-0178

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NPI Details

LA JARRA ASSISTED LIVING FACILITY is a community based residential treatment facility mental illness in Raymondville, TX. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LA JARRA ASSISTED LIVING FACILITY NPI is 1386042208. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12615 LAS MAJADAS RANCH RD
RAYMONDVILLE, TX
ZIP 78580
Phone: (512) 423-0178

The provider's authorized official is Fred Ballard .
The authorized official title is General Manager and has the following contact phone number (512) 423-0178.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 5/3/2022.

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
1171M00000XCase Manager/Care CoordinatorNo
2171W00000XContractorNo
3310400000XAssisted Living FacilityNo
4373H00000XDay Training/Habilitation SpecialistNo
5320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 11/21/2025

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