BLANQUITA'S ADULT DAY CARE CENTER LLC NPI 1841536638

NPI Information

NPI: 1841536638
Provider Name: BLANQUITA'S ADULT DAY CARE CENTER LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 45D2062581

Address:
1537 S VETERANS BLVD
EAGLE PASS, TX
ZIP 78852
Phone: (830) 352-4013
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BLANQUITA'S ADULT DAY CARE CENTER LLC is an adult day care clinic center in Eagle Pass, TX. BLANQUITA'S ADULT DAY CARE CENTER LLC NPI is 1841536638. The provider is registered as an organization entity type.

The provider's business location address is:

1537 S VETERANS BLVD
EAGLE PASS, TX
ZIP 78852-474
Phone: (830) 352-4013
Fax: (830) 752-6299

The provider's authorized official is Yolanda P. Ramon .
The authorized official title is Owner/alt. Administrator and has the following contact phone number (830) 352-4013.

The CLIA number assigned to this NPI record is 45D2062581 - other - adult day care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/24/2012 and was last updated on 10/21/2018.

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	311ZA0620X	Custodial Care Facility	Adult Care Home			No
2	261QA0600X	Clinic/Center	Adult Day Care			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	1841536638	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: 5/5/2024

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