MIRASOL PRIMARY HOME CARE LLC (NPI# 1083756720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083756720 |
| Entity Type | Organization |
| Organization Name | MIRASOL PRIMARY HOME CARE LLC |
| Practice Address |
710 E Griffin Pkwy Suite C Mission TX 78572 |
| Mailing Address |
710 E Griffin Pkwy Suite C Mission TX 78572-2910 |
| Practice Telephone | 9565811351 |
| Practice Fax Number | 9565812306 |
| Mailing Telephone | 9565811351 |
| Mailing Fax Number | 9565812306 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | MRS. YOLANDA BALDERAS (PRESIDENT) |
| Authorized Official Telephone | 9565811351 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 006581 | TX | Agencies |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE NUMBER | 006581 | 01 |
| TX | DADS CONTRACT NUMBER | 000019600 | 01 |
| TX | SUBMITTER ID | 345520162 | 01 |
| Street Address |
710 E GRIFFIN PKWY SUITE C |
| City | MISSION |
| State | TX |
| Zip Code | 78572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1710528187 | Te Cuidamos, LLC | Home Health | 2205 N Inspiration Rd, Ste A, Mission, TX 78572 | 2019-10-07 |
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1609352715 | Community First Home Health | Home Health | 1707 Merlin, Mission, TX 78572 | 2018-07-12 |
| 1831681279 | Yuriko Garcia | Physician Assistant | 910 S. Bryan Rd., Suite #105, Mission, TX 78572 | 2018-06-01 |
| 1982193918 | Dalinda Valdez | Registered Nurse | 1707 Merlin Dr, Mission, TX 78572 | 2018-05-04 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1760998371 | J Bravo Medical Services | Clinic/Center | 2001 W 3 Mile Line Rd, 2400 & 2500, Mission, TX 78572 | 2017-12-18 |
| 1821528654 | Bit Na Lee | Dentist | 213 E Expy 83, Mission, TX 78572 | 2017-06-14 |
| 1568901957 | Ofelia Perez Hernandez Dds Pllc | Dentist | 8360 W. Expy 83, Mission, TX 78572 | 2017-02-17 |
| Find all providers in zip 78572 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473091 | Cielito Lindo Primary Home Care LLC | Technician | 8012 W Expressway 83 Ste B, Mission, TX 78572-2095 | 2020-09-28 |
| 1619586526 | Pedro Cruz | Technician | 700 E Griffin Pkwy Ste 117, Mission, TX 78572-2939 | 2020-07-27 |
| 1215568464 | Andreas P Warren | Technician | 5100 Foxridge Dr. Apt 1524, Mission, KS 66202 | 2020-01-27 |
| 1235771320 | Beloved Angels Primary Home Care LLC | Technician | 1700 W Bus 83 Ste C, Mission, TX 78572-7239 | 2019-10-10 |
| 1225517329 | Mission Project - Person Care Assistants, LLC | Technician | 5960 Dearborn St # 225, Mission, KS 66202-3342 | 2018-08-09 |
| 1063916740 | De Dios Primary Home Care, LLC | Technician | 600 E Griffin Pkwy Ste A-2, Mission, TX 78572-2980 | 2018-03-19 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1689126443 | Maria Luisa Mendoza | Technician | 2020 E. Griffen Pkwy Ste B, Mission, TX 78572 | 2016-10-27 |
| 1255882122 | Sincerely Yours Personal Home Care, LLC | Technician | 2112 S Shary Rd Ste 19, Mission, TX 78572-0010 | 2016-10-17 |
| 1063689818 | Jal Community Services, Inc. | Technician | 1713 W Griffin Pkwy, Mission, TX 78572-7306 | 2008-05-12 |
| Find all providers in MISSION | ||||
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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.