CGM PROGRESSIVE SERVICES LLC NPI 1982891917

NPI Information

NPI: 1982891917
Provider Name: CGM PROGRESSIVE SERVICES LLC

Doing Business As: SU CASA ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1305 E JUAREZ ST
PHARR, TX
ZIP 78577
Phone: (956) 702-3870
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CGM PROGRESSIVE SERVICES LLC is an adult day care clinic center in Pharr, TX. CGM PROGRESSIVE SERVICES LLC NPI is 1982891917. The provider is registered as an organization entity type.
The provider Is Doing Business As Su Casa Adult Day Care.

The provider's business location address is:

1305 E JUAREZ ST
PHARR, TX
ZIP 78577-316
Phone: (956) 702-3870
Fax: (956) 702-3875

The provider's authorized official is Denise Y Guerra .
The authorized official title is Managing Member/administrator and has the following contact phone number (956) 702-3870.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 10/3/2007.

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	120132	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	TX-108-6084	OTHER	TEXAS	SPECIAL NUTRITION PROGRAM

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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