SAN ANGEL PRIMARY HOME CARE LLC (NPI# 1982137790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982137790 |
| Entity Type | Organization |
| Organization Name | SAN ANGEL PRIMARY HOME CARE LLC |
| Practice Address |
860 W Price Rd Brownsville TX 78520-8702 |
| Mailing Address |
2214 El Cielo Brownsville TX 78520-9293 |
| Practice Telephone | 9566210556 |
| Practice Fax Number | 9564430755 |
| Mailing Telephone | 9566210556 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | MR. JOSE ANGEL DE LA O (OWNER / ADMINISTRATOR) |
| Authorized Official Telephone | 9566210556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | TX | Agencies | |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
018402 | TX | Nursing Service Related Providers |
| Street Address |
860 W PRICE RD |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78520-8702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356695233 | Executive Home Health, LLC | Home Health | 860 W Price Rd, Brownsville, TX 78520-8702 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090243 | Ridgewood Psychiatry Pllc | Psychiatry & Neurology | 832 Ridgewood St, Brownsville, TX 78520 | 2020-10-16 |
| 1144850520 | Hellen Rurangirwa Md Pa Pediatric Clinic | Pediatrics | 2648 W Alton Gloor, Brownsville, TX 78520 | 2020-01-24 |
| 1235698911 | South Texas Neurosurgery Associates | Neurological Surgery | 3475 W Alton Gloor Blvd Ste A, Brownsville, TX 78520 | 2019-03-13 |
| 1952884520 | Bianca Gonzalez | Physical Therapy Assistant | 4834 Beaver Pond Dr., Brownsville, TX 78520 | 2018-09-10 |
| 1871087775 | Ariana Quiroga | Durable Medical Equipment & Medical Supplies | 2776 W Alton Gloor Blvd Ste 3, Brownsville, TX 78520 | 2018-06-14 |
| 1134622863 | Ebony Center Pllc | Counselor | 2905 Central Blvd., Suite C, Brownsville, TX 78520 | 2018-03-08 |
| 1770083560 | Maria D Gaona | Registered Nurse | 2666 Laredo Rd, Brownsville, TX 78520 | 2018-02-18 |
| 1710496419 | T & B Espino Inc | Technician | 2226 Athens St, Brownsville, TX 78520 | 2017-09-25 |
| 1558891150 | Horizon Primary Home Care,inc | In Home Supportive Care | 556 W. Elizabeth St. Ste A, Brownsville, TX 78520 | 2017-06-15 |
| 1306377148 | Jessica Gutierrez | Nurse Practitioner | 2404 El Gusto St, Brownsville, TX 78520 | 2017-03-23 |
| Find all providers in zip 78520 | ||||
| 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 |
|---|---|---|---|---|
| 1881293439 | April Kay Gonzalez | Technician | 613 Montreal Ct, Brownsville, TX 78526-5136 | 2020-10-23 |
| 1376159947 | Martha Lopez Davila | Technician | 1313 Rachel Cir, Brownsville, TX 78526-1252 | 2020-09-18 |
| 1275148405 | Divine Faith, Primary Home Care, LLC | Technician | 2120 E Price Rd Ste A, Brownsville, TX 78521-2401 | 2020-09-14 |
| 1023629813 | Los Girasoles Home Care Agency, LLP | Technician | 1575 Military Hwy 281 Ste 113, Brownsville, TX 78520-3408 | 2020-08-14 |
| 1457976698 | Argelio Velasquez | Technician | 3 Conquistador St, Brownsville, TX 78520-9053 | 2020-06-13 |
| 1346860731 | Bendicion Divina Personal Assistance Services, LLC. | Technician | 7601 Pecan Ave, Brownsville, TX 78526-3122 | 2020-04-25 |
| 1902438104 | Monarca Home Care Corp | Technician | 3116 E 14th St, Brownsville, TX 78521-3316 | 2020-02-06 |
| 1265064497 | Novak Primary Home Care LLC | Technician | 3536 Montclair St, Brownsville, TX 78520-2100 | 2020-02-05 |
| 1972140309 | Ace Attendant Services, LLC. | Technician | 2106 N Minnesota Ave, Brownsville, TX 78521-6921 | 2019-12-04 |
| 1356999361 | Ambrose Eternity Home Services, LLC. | Technician | 3505 Boca Chica Blvd., Ste. 205, Brownsville, TX 78521 | 2019-09-03 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 78520 |
Please comment or provide details below to improve the information on SAN ANGEL PRIMARY HOME CARE 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.