Organization Active NPI

Professional Skilled Services, Inc.

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1063457505
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008762 Issued in TX
Legal business name
PROFESSIONAL SKILLED SERVICES, INC.
Practice address
205 W Village Blvd
Suite 4
Laredo, TX 78041-2261
Phone
(956) 712-2190
Fax
(956) 712-0147
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mrs. Leticia Reyna, LVN
Title
Administrator
Phone
(956) 712-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008762 TX Primary

Addresses

Primary practice location

205 W Village Blvd
Suite 4
Laredo, TX 78041-2261

Mailing address

205 W Village Blvd
Suite 4
Laredo, TX 78041-2261
Phone (956) 712-2190

National Provider Directory

National Provider Directory

Locations

1104 Market St
Laredo, TX 78040
Phone (956) 712-2190

205 W Village Blvd
Ste 4
Laredo, TX 78041
Phone (956) 401-9008

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1063457505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W VILLAGE BLVD",
            "address_2": "SUITE 4",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412261",
            "telephone_number": "956-712-2190",
            "fax_number": "956-712-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W VILLAGE BLVD",
            "address_2": "SUITE 4",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412261",
            "telephone_number": "956-712-2190",
            "fax_number": "956-712-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SKILLED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-712-2190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.