Organization Active NPI

Familia Primary Home Care, Inc.

  • Personal Care Attendant
  • Mission, TX
National Provider Identifier
1134496698
Registry record updated Jun 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
FAMILIA PRIMARY HOME CARE, INC.
Practice address
2002 N Conway Ave Ste C
Mission, TX 78572-2926
Phone
(956) 583-4620
Fax
(956) 583-4621
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2021

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

Authorized official

Name
Evelia Gutierrez
Title
Administrator
Phone
(956) 583-4620

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2002 N Conway Ave Ste C
Mission, TX 78572-2926

Mailing address

2002 N Conway Ave Ste C
Mission, TX 78572-2926
Phone (956) 583-4620

Other practice location 1

346 Oak St
Rio Grande City, TX 78582-4904
Phone (956) 583-4620

Other practice location 2

2700 E Griffin Pkwy Ste D-2
Mission, TX 78572-3558
Phone (956) 890-9688

National Provider Directory

National Provider Directory

Locations

4430 S McColl Rd
Edinburg, TX 78539
Phone (956) 805-0153

2002 N Conway Ave
Ste C
Mission, TX 78572
Phone (956) 583-4620

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1134496698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N CONWAY AVE STE C",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722926",
            "telephone_number": "956-583-4620",
            "fax_number": "956-583-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N CONWAY AVE STE C",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722926",
            "telephone_number": "956-583-4620",
            "fax_number": "956-583-4621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "346 Oak St",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785824904",
            "country_code": "US",
            "telephone_number": "956-583-4620",
            "fax_number": "956-583-4621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 E Griffin Pkwy Ste D-2",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723558",
            "country_code": "US",
            "telephone_number": "956-890-9688",
            "fax_number": "956-583-4621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILIA PRIMARY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "EVELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-583-4620"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.