EL PAVO REAL ADULT DAY CARE INC. (NPI# 1225230352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225230352 |
| Entity Type | Organization |
| Organization Name | EL PAVO REAL ADULT DAY CARE INC. |
| Other Organization Name | OTHER NAME |
| Practice Address |
963 W Us Highway 83 Alamo TX 78516-2529 |
| Mailing Address |
963 W Us Highway 83 P O Box 656 Alamo TX 78516-2529 |
| Practice Telephone | 9567838560 |
| Practice Fax Number | 9567021608 |
| Mailing Telephone | 9567838560 |
| Mailing Fax Number | 9567021608 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GILBERTO SOTELO (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 9567890556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | TX | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| OTHER NAME | Doing Business As Name - Organization |
| Street Address |
963 W US HIGHWAY 83 |
| City | ALAMO |
| State | TX |
| Zip Code | 78516-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819214 | Crystal Leanne Jones | Nurse Practitioner | 1226 West Austin Avenue, Alamo, TX 78516 | 2020-07-23 |
| 1336621168 | Deunta Jenkins | Physical Therapy Assistant | 1214 S Alamo Rd, Alamo, TX 78516 | 2018-08-29 |
| 1124505375 | Nancy Brendalee Garza | Specialist/Technologist | 118 S. 9th Pl., Alamo, TX 78516 | 2018-07-20 |
| 1528545712 | Teresita M. Lemus | Occupational Therapy Assistant | 118 S. 9th Place, Alamo, TX 78516 | 2018-07-20 |
| 1336632850 | Jose Ricardo Yanez Jr. | Counselor | 900 E Bowie Ave, Alamo, TX 78516 | 2018-06-09 |
| 1154842870 | Albert Caballero IIi | Student in an Organized Health Care Education/Training Program | 219 Caramel Dr, Alamo, TX 78516 | 2017-07-03 |
| 1003277377 | Julieta Quirino | Clinic/Center | 1040 West Ellis Ave, Alamo, TX 78516 | 2016-03-15 |
| 1700127545 | Richard Darko | Pharmacist | 1211 Hwy 83 E, Alamo, TX 78516 | 2013-03-04 |
| 1235488354 | Functional Therapeutics | Speech-Language Pathologist | 616 Vida Santa St, Alamo, TX 78516 | 2012-09-05 |
| 1831444801 | Victory Rehab LLC | Occupational Therapist | 1103 Acacia Ave, Alamo, TX 78516 | 2012-07-17 |
| Find all providers in zip 78516 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1114423399 | David Rutledge Bell | Point of Service | 7301 N Ranch Road 620 Ste 155-184n, Austin, TX 78726-4539 | 2018-04-05 |
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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.