ELDORADO TEXAS COMMUNITY SERVICE CENTER (NPI# 1902263478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902263478 |
| Entity Type | Organization |
| Organization Name | ELDORADO TEXAS COMMUNITY SERVICE CENTER |
| Practice Address |
5510 N Cage Blvd Ste P Pharr TX 78577-1813 |
| Mailing Address |
954 E Madison St Brownsville TX 78520-5950 |
| Practice Telephone | 9567873544 |
| Practice Fax Number | 9567873548 |
| Mailing Telephone | 6612546630 |
| Mailing Fax Number | 6612546644 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | MR. PRAMESH PRAKASH SHARMA (SR V P) |
| Authorized Official Telephone | 6612546630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE NTP LICENSE | 1000016 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699086371 | Eldorado Texas Community Service Center | Clinic/Center | 954 E Madison St, Brownsville, TX 78520-5950 | 2010-06-28 |
| 1023338548 | Eldorado Texas Community Service Center | Clinic/Center | 5510 N Cage Blvd, Suite P, Pharr, TX 78577-1812 | 2010-06-07 |
| Street Address |
5510 N CAGE BLVD STE P |
| City | PHARR |
| State | TX |
| Zip Code | 78577-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669823787 | Jessica Farias | Licensed Practical Nurse | 5510 N Cage Blvd Ste P, Pharr, TX 78577-1813 | 2016-06-30 |
| 1912358037 | Norma Garza | Licensed Vocational Nurse | 5510 N Cage Blvd Ste P, Pharr, TX 78577-1813 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019875 | Faith Home Care, Inc | Home Health | 200 East Expressway 83 Ste. O, Pharr, TX 78577 | 2020-10-05 |
| 1720613276 | Dalin Sok I | Occupational Therapy Assistant | Aveanna Healthcare 508 W Interstate 2 Suite 3, Pharr, TX 78577 | 2020-03-05 |
| 1205303799 | Cristina Marie Bocanegra | Physical Therapist | 508 Expressway 83 Suite 3, Pharr, TX 78577 | 2018-11-01 |
| 1578030508 | Dulce Amor Y Paz Primary Home Care, LLC | In Home Supportive Care | 607 W Interstate Ste B, Pharr, TX 78577 | 2018-10-29 |
| 1851866412 | Dinma Care Pharmacy Durable Medical Equipment (dme) Services LLC | Durable Medical Equipment & Medical Supplies | 832 Del Oro Lane, Suite # 1, Pharr, TX 78577 | 2018-10-10 |
| 1144705393 | Hiram Duran | Occupational Therapy Assistant | 902 E. Nolana Suite H&i, Pharr, TX 78577 | 2018-10-03 |
| 1093293144 | Claudia Garcia | Occupational Therapy Assistant | 912 E Nolana Loop Ste G, Pharr, TX 78577 | 2018-08-01 |
| 1013493592 | Roxanna Garza Gonzalez | Specialist/Technologist | 216 E Interstate 2 Suite K, Pharr, TX 78577 | 2018-07-17 |
| 1376037754 | Roxana Saenz | Speech-Language Pathologist | 508 W Expy 83, Suite 3, Pharr, TX 78577 | 2018-06-19 |
| 1912414160 | Michael Jeremy Hoskins | Physical Therapist | 508 West Expressway 83 Suite 3, Pharr, TX 78577 | 2018-01-09 |
| Find all providers in zip 78577 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1730652751 | North West Frontier Recovery Pllc | Clinic/Center | 225 Metro Dr Ste 100, Terrell, TX 75160-9103 | 2019-01-03 |
| 1811417397 | Mars S.a. LLC. | Clinic/Center | 437 Mccarty Rd Ste 600, San Antonio, TX 78216-4445 | 2017-06-26 |
| 1689194151 | Medication Assisted Recovery Services Mars, LLC | Clinic/Center | 1101 Arrow Point Dr Ste 214, Cedar Park, TX 78613-7739 | 2017-06-26 |
| 1245765585 | Crossroads Treatment Center of Fort Worth, Pllc | Clinic/Center | 6733 Camp Bowie Blvd, Fort Worth, TX 76116-7112 | 2017-04-24 |
| 1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
| 1891169215 | Medmark Treatment Centers of Texas,inc | Clinic/Center | 5004 Alameda Ave, El Paso, TX 79905-2804 | 2015-11-23 |
| 1598133472 | Inspired Hope Group LLC | Clinic/Center | 1228 W Scyene Rd Ste 230, Mesquite, TX 75149-3143 | 2015-09-09 |
| 1184036790 | Mcet-waskom Limited Liability Company | Clinic/Center | 670 Spur 156, Waskom, TX 75692-9129 | 2014-06-02 |
| 1821419201 | Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr | Clinic/Center | 2615 S Lancaster Rd, Dallas, TX 75216-3112 | 2014-01-02 |
| Find all providers with the same taxonomy | ||||
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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.