SOUTH TEXAS PERSONAL CARE SERVICE INC. (NPI# 1114121043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114121043 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS PERSONAL CARE SERVICE INC. |
| Practice Address |
1022 E Griffin Pkwy Suite 106b Mission TX 78572-2400 |
| Practice Telephone | 9565847600 |
| Practice Fax Number | 9565847604 |
| Mailing Telephone | 9565847600 |
| Mailing Fax Number | 9565847604 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | MRS. RITA DIANNE MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 9565847600 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | 009720 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 185823501 | 05 |
| Street Address |
1022 E GRIFFIN PKWY SUITE 106B |
| City | MISSION |
| State | TX |
| Zip Code | 78572-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465173 | Jorge E Miranda Md Pa | Obstetrics & Gynecology | 1022 E Griffin Pkwy, Ste 101, Mission, TX 78572-2400 | 2005-11-21 |
| 1407301476 | Assertive Health Services LLC | Home Health | 1022 E Griffin Pkwy, Suite 106a, Mission, TX 78572-2400 | 2016-08-19 |
| 1497092068 | Orthopedic Physical Therapy Associates Pllc | Clinic/Center | 1022 E Griffin Pkwy, Suite 203, Mission, TX 78572-2400 | 2013-01-15 |
| 1629375654 | Monica Cruz | Nurse Practitioner | 1022 E Griffin Pkwy, Mission, TX 78572-2400 | 2011-02-28 |
| 1679768295 | Jaspreet Kaur | Internal Medicine | 1022 E Griffin Pkwy, Suite 111, Mission, TX 78572-2400 | 2007-09-06 |
| 1871794461 | Salamancas Therapy, P.C. | Clinic/Center | 1022 E Griffin Pkwy, Suite 104, Mission, TX 78572-2400 | 2007-05-30 |
| 1407063175 | Rafael A. Avila M.d. P.a. | Clinic/Center | 1022 E Griffin Pkwy, Suite 110, Mission, TX 78572-2400 | 2007-05-16 |
| 1841324340 | Antonieta A Gimotea Md Pa | Pediatrics | 1022 E Griffin Pkwy, Suite 105, Mission, TX 78572-2400 | 2007-03-15 |
| 1881743839 | David Alvaro Mayorga | Internal Medicine | 1022 E Griffin Pkwy, Suite 201 B, Mission, TX 78572-2400 | 2007-01-09 |
| 1023190659 | Jose M. Marina, Do. Pa | Orthopaedic Surgery | 1022 E Griffin Pkwy, Ste. 108, Mission, TX 78572-2400 | 2006-10-20 |
| Find all providers in the same location | ||||
| 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 | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972943165 | Glory Primary Home Care Inc. | PACE Provider Organization | 609 S Resplandor St, Mission, TX 78572-6911 | 2013-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212961 | Gregory Wayne Mcafee Jr. | PACE Provider Organization | 7216 Mallard Dr, Texas City, TX 77591-3616 | 2019-12-17 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1700373966 | Nathalia White Shanetta White | PACE Provider Organization | 240 W Galveston St Unit 417, League City, TX 77574-0849 | 2018-04-13 |
| 1942717012 | Wayfinders Day Habilitations & Respite Care | PACE Provider Organization | 4611 W Walnut St, Pearland, TX 77581-3967 | 2018-01-10 |
| 1154833184 | Operation Advantage Inc. | PACE Provider Organization | 2747 Point Vw, Cedar Hill, TX 75104-6936 | 2017-10-31 |
| 1275069478 | Jeffrey Joe Young | PACE Provider Organization | 2129 Green Lee Lane, Dickinson, TX 77539-5152 | 2017-05-08 |
| 1417308966 | Good Grace Provider Service | PACE Provider Organization | 15155 Richmond Ave Apt 833, Houston, TX 77082-1637 | 2016-06-27 |
| 1174971865 | Genuine Queens Jcl Care | PACE Provider Organization | 3730 S Loop 1604 E, San Antonio, TX 78264-9551 | 2016-06-03 |
| 1184072118 | Philia Interpreting Agency | PACE Provider Organization | 701 Mesquite St, Abilene, TX 79601-5220 | 2016-05-31 |
| 1710331913 | Heritage Developmental Care LLC | PACE Provider Organization | 9465 Clearwood Dr, Apt 324, Houston, TX 77075-4059 | 2016-04-14 |
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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.