Gardenia Primary Home Care, LLC

Organization Active NPI Personal Care Attendant · Alamo, TX

NPI 1003319005 · NPPES record last updated Sep 26, 2018

Key facts

NPI
1003319005
Entity type
Organization (NPI type 2)
Primary specialty
Personal Care Attendant 3747P1801X
Legal business name
GARDENIA PRIMARY HOME CARE, LLC
Practice address
370 E Bowie Ave
Alamo, TX 78516-5519
Phone
(956) 223-4363
Fax
(956) 223-4363
NPI assigned
Mar 15, 2018
Organization subpart
No

Authorized official

Name
Marites Tautho, RN
Title
President/Administrator
Phone
(956) 223-4363

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X Yes

Addresses

Primary practice location

370 E Bowie Ave
Alamo, TX 78516-5519

Mailing address

PO Box 281
Alamo, TX 78516-0281
Phone (956) 223-4363

Other providers in Alamo, TX

All providers in Alamo, TX · Personal Care Attendant in Texas

Sources for this page

Verify at the official NPI Registry.