Persad, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

015622 Issued in TX

Legal business name

PERSAD, INC.

Doing business as

Semper Fi Provider Care

Practice address

1016 La Mirada
Portland, TX 78374-4132

Phone

(361) 230-9362

Fax

(888) 708-5069

NPI assigned

Mar 28, 2013

Last updated

Aug 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Rene Persad, RN, BSN

Title

President/Director

Phone

(361) 230-9362

Specialties & licenses 1

Addresses

Other names 1

• Semper Fi Provider Care Doing business as

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1073856985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1331",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741185",
            "telephone_number": "361-230-9362",
            "fax_number": "888-708-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 LA MIRADA",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783744132",
            "telephone_number": "361-230-9362",
            "fax_number": "888-708-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "PERSAD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "361-230-9362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "015622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Semper Fi Provider Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Portland, TX
• Providers in Portland, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.