CUTTING EDGE PHC, LLC (NPI# 1285136358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285136358 |
| Entity Type | Organization |
| Organization Name | CUTTING EDGE PHC, LLC |
| Practice Address |
21173 Smoker Rd San Benito TX 78586-6744 |
| Practice Telephone | 9564566065 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | CHARLES BRANDON EDGE (OWNER) |
| Authorized Official Telephone | 9564566065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
21173 SMOKER RD |
| City | SAN BENITO |
| State | TX |
| Zip Code | 78586-6744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903542 | Ana Cecilia Santana | Counselor | 401 E. Business Hwy 77, San Benito, TX 78586 | 2019-10-11 |
| 1629636519 | Jodie Bulnes | Social Worker | 2310 W. Business Hwy 77, San Benito, TX 78586 | 2019-06-05 |
| 1730651225 | Alma De La Garza | Licensed Vocational Nurse | 24369 Resaca Llena Drive, San Benito, TX 78586 | 2018-12-20 |
| 1144719428 | Fernando Vasquez Jr. | Physician Assistant | 400 Us-77 Bus, San Benito, TX 78586 | 2018-05-02 |
| 1447660048 | Rodeo Dental & Orthodontics | Dentist | 1141 Us Business 77, Ste G, San Benito, TX 78586 | 2014-05-05 |
| 1528309044 | Sergio De La Garza | Pharmacist | 1095 W. Business 77, San Benito, TX 78586 | 2013-03-07 |
| 1255692489 | Priscilla Sustaita | Speech-Language Pathologist | 935 S. Travis Rd., San Benito, TX 78586 | 2012-06-05 |
| 1740572148 | Infinity Rehab Services, LLC | Occupational Therapist | 115 N Williams Road, Ste. A, San Benito, TX 78586 | 2011-05-04 |
| 1346556305 | Deborah Gallaga | Pharmacist | 1095 W Highway 77, San Benito, TX 78586 | 2010-08-27 |
| 1811201478 | Pete Martinez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26619 Line G Road, San Benito, TX 78586 | 2010-08-05 |
| Find all providers in zip 78586 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356768063 | Alex Alvarado | Home Health | 1530 S Sam Houston St, San Benito, TX 78586-7241 | 2014-03-20 |
| 1154756401 | Conde Homecare Services | Home Health | 487 S Bowie St, San Benito, TX 78586-3711 | 2013-09-05 |
| 1457670077 | For Your Care Home Health Agency, LLC | Home Health | 8940 Lomax, San Benito, TX 78586-7943 | 2010-05-21 |
| 1811212384 | Pro-health Home Care LLC | Home Health | 2402 N Hwy 77, Suite Q, San Benito, TX 78586 | 2010-03-29 |
| 1295969723 | A Life Primary Home, L.L.C. | Home Health | 32243 Rd 803, San Benito, TX 78586-6628 | 2009-05-12 |
| 1770723496 | Hmc Pediatrics | Home Health | 1595 W Us Highway 77 Ste D, San Benito, TX 78586-4180 | 2009-02-21 |
| 1114041282 | Believe In Us Primary Home Care, Inc | Home Health | 2845 Gamble Road, San Benito, TX 78586 | 2007-03-16 |
| 1922162346 | Eldercare Home Health and Hospice | Home Health | 1835 S Sam Houston St, Ste. C, San Benito, TX 78586-7250 | 2006-12-20 |
| 1104936368 | Stay Healthy Homecare, Inc. | Home Health | 724 N Sam Houston Blvd, San Benito, TX 78586-5265 | 2006-08-30 |
| 1982719308 | Jancare Health Services, Inc. | Home Health | 262 Bean Rd, San Benito, TX 78586-7355 | 2006-08-19 |
| Find all providers in SAN BENITO | ||||
| City | SAN BENITO |
| Zip Code | 78586 |
Please comment or provide details below to improve the information on CUTTING EDGE PHC, LLC.
| 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.