Organization Active NPI

CMS Healthcare Provider Services LLC

  • Personal Care Attendant
  • Laredo, TX
National Provider Identifier
1174305320
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
CMS HEALTHCARE PROVIDER SERVICES LLC
Practice address
3110 Quintero St
Laredo, TX 78045-5001
Phone
(956) 898-9399
Fax
(956) 726-9305
NPI assigned
Oct 20, 2023
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Melissa Ann Pena, CEO
Title
President
Phone
(956) 898-9399

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Personal Care Attendant 3747P1801X Primary
Home Health Aide 374U00000X

Addresses

Primary practice location

3110 Quintero St
Laredo, TX 78045-5001

Mailing address

3110 Quintero St
Laredo, TX 78045-5001
Phone (956) 898-9399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1174305320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 QUINTERO ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780455001",
            "telephone_number": "956-898-9399",
            "fax_number": "956-726-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 QUINTERO ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780455001",
            "telephone_number": "956-898-9399",
            "fax_number": "956-726-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS HEALTHCARE PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-898-9399",
        "authorized_official_credential": "CEO"
    },
    "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": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 21, 2025; 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.