Provider Demographics
NPI:1104971597
Name:NUESTRA FAMILIA ADULT DAY CARE INC
Entity type:Organization
Organization Name:NUESTRA FAMILIA ADULT DAY CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALERIO SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-789-3354
Mailing Address - Street 1:1010 S UTAH AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5861
Mailing Address - Country:US
Mailing Address - Phone:956-969-0204
Mailing Address - Fax:956-969-1715
Practice Address - Street 1:1010 S UTAH AVE
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5861
Practice Address - Country:US
Practice Address - Phone:956-969-0204
Practice Address - Fax:956-969-1715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133693261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000332100Medicaid