La Agencia Provider Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LA AGENCIA PROVIDER SERVICES, LLC

Practice address

1524 Doherty Ave
Suite 2
Mission, TX 78572-4019

Phone

(956) 890-9688

Fax

(956) 618-4631

NPI assigned

Nov 16, 2015

Last updated

Nov 16, 2015By 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

Mr. Roberto Centeno

Title

Memeber

Phone

(956) 890-9688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1164896007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 DOHERTY AVE",
            "address_2": "SUITE 2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724019",
            "telephone_number": "956-890-9688",
            "fax_number": "956-618-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 DOHERTY AVE",
            "address_2": "SUITE 2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724019",
            "telephone_number": "956-890-9688",
            "fax_number": "956-618-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA AGENCIA PROVIDER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "CENTENO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MEMEBER",
        "authorized_official_telephone_number": "956-890-9688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mission, TX
• Providers in Mission, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.