LA GRAN VIDA ADULT DAYCARE (NPI# 1992028120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992028120 |
| Entity Type | Organization |
| Organization Name | LA GRAN VIDA ADULT DAYCARE |
| Practice Address |
8825 N Loop Dr Ste 114 El Paso TX 79907-4606 |
| Practice Telephone | 9153294161 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | DR. JEAN R JOSEPH-VANDERPOOL (ASSOCIATE CEO) |
| Authorized Official Telephone | 9152412012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
TX | Nursing & Custodial Care Facilities |
| Street Address |
8825 N LOOP DR STE 114 |
| City | EL PASO |
| State | TX |
| Zip Code | 79907-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942782537 | Monica Patricia Ogaz | Nurse Practitioner | 615 N Zaragoza Rd Ste 86, El Paso, TX 79907 | 2018-08-30 |
| 1881078285 | Dominion Medical Services Pllc | Family Medicine | 1030 N. Zaragoza, Suite X, El Paso, TX 79907 | 2015-07-15 |
| 1144625849 | Dezirae Senclair | Registered Nurse | 316 Granillo, El Paso, TX 79907 | 2014-10-24 |
| 1124421938 | Sweet Home Adult Day Care LLC | Clinic/Center | 8615 San Juan Lane Building 19, El Paso, TX 79907 | 2014-10-07 |
| 1689995037 | Texas Senior & Disabled Day Care, L.L.C. | Clinic/Center | 1223 N. Lee Trevino Dr., El Paso, TX 79907 | 2010-06-21 |
| 1891022323 | Alderete Enterprises LLC | Clinic/Center | 8615 San Juan, Building - 19, El Paso, TX 79907 | 2009-11-04 |
| 1376707166 | Preferred Adult Day Care Center LLC | Clinic/Center | 8825 North Loop, Suites 118-119, El Paso, TX 79907 | 2008-07-11 |
| 1154500379 | North Mesa Dental, PC | Dentist | 615 Zargoza Road, Suite 88, El Paso, TX 79907 | 2007-10-25 |
| 1700816089 | David Lynn Butterfield | Specialist/Technologist | 5932 Quail Ave, El Paso, TX 79907 | 2006-07-03 |
| 1922080118 | Alfredo Aguayo | Chiropractor | 1030 North Zaragoza, Suite O, El Paso, TX 79907 | 2005-11-15 |
| Find all providers in zip 79907 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538483 | Alejandra Melendez | Custodial Care Facility | 160 Santa Paula Dr, El Paso, TX 79927-1466 | 2020-11-04 |
| 1154944981 | Del Rio Home LLC | Custodial Care Facility | 12246 Via Del Rio, El Paso, TX 79936-6474 | 2020-05-27 |
| 1033698055 | Casa Shalom | Custodial Care Facility | 6519 Mohawk Ave, El Paso, TX 79925-2112 | 2018-08-09 |
| 1942795075 | Sara Camacho | Custodial Care Facility | 3504 Beryl Ln, El Paso, TX 79904-1702 | 2018-07-01 |
| 1912492638 | Martha I Vegavaldez | Custodial Care Facility | 10808 Tom Kite Ct, El Paso, TX 79935-3720 | 2018-06-25 |
| 1356842421 | Corina Munoz | Custodial Care Facility | 2309 Sea Palm Dr, El Paso, TX 79936-3019 | 2018-02-23 |
| 1376061432 | Maria Teresa Navarrete | Custodial Care Facility | 6217 Monarch Dr, El Paso, TX 79912-4924 | 2017-09-08 |
| 1043734668 | Yocelyn Yulimar Raymond | Custodial Care Facility | 6944 Ramada Drive, El Paso, TX 79912 | 2017-07-26 |
| 1316477409 | Gabriela Barraza | Custodial Care Facility | 12249 Via Del Rio, El Paso, TX 79936-6474 | 2017-06-12 |
| 1598294985 | Blanca Luz Anchondo | Custodial Care Facility | 9009 Turrentine Dr, El Paso, TX 79925-5931 | 2017-06-08 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.