Mirasol Primary Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

MIRASOL PRIMARY HOME CARE LLC

Practice address

710 E Griffin Pkwy
Suite C
Mission, TX 78572

Phone

(956) 581-1351

Fax

(956) 581-2306

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Balderas, R.N.

Title

President

Phone

(956) 581-1351

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1083756720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E GRIFFIN PKWY",
            "address_2": "SUITE C",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722910",
            "telephone_number": "956-581-1351",
            "fax_number": "956-581-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E GRIFFIN PKWY",
            "address_2": "SUITE C",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-581-1351",
            "fax_number": "956-581-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRASOL PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BALDERAS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-581-1351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006581",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "006581",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS CONTRACT NUMBER",
            "identifier": "000019600",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID",
            "identifier": "345520162",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Mission, TX
• Providers in Mission, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.