NPIMap

Organization Active NPI

Pax Villa, Inc.

  • Community Based Hospice Care Agency
  • McAllen, TX
National Provider Identifier
1033395223
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PAX VILLA, INC.
Practice address
4513 W Business Highway 83
McAllen, TX 78502-9701
Phone
(956) 686-4414
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Samuel EtienneNPI 1134707300
Title
General Manager
Phone
(956) 821-8423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4513 W Business Highway 83
McAllen, TX 78502-9701

Mailing address

PO Box 5957
McAllen, TX 78502-5957
Phone (956) 821-8423

National Provider Directory

National Provider Directory

Locations

4513 W US Highway 83
McAllen, TX 78501
Phone (956) 686-4414

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1033395223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5957",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785025957",
            "telephone_number": "956-821-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 W BUSINESS HIGHWAY 83",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785029701",
            "telephone_number": "956-686-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "956-821-8423",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.