Fortaleza Y Amistad Primary Home Care, LLC.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

FORTALEZA Y AMISTAD PRIMARY HOME CARE, LLC.

Practice address

1912 Westhaven Dr
Weslaco, TX 78599-3022

Phone

(956) 975-5208

Fax

(956) 517-1361

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Ricardo A Flores

Title

Administrator

Phone

(956) 975-5208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1194338681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 WESTHAVEN DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785993022",
            "telephone_number": "956-975-5208",
            "fax_number": "956-517-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 WESTHAVEN DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785993022",
            "telephone_number": "956-975-5208",
            "fax_number": "956-517-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTALEZA Y AMISTAD PRIMARY HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-975-5208"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Florez, LCSW
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• Ruben P Fonseca, RPH.
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• Friends Health Care Services, Inc.
• Kristen Nicole Friesen, CNM

• Personal Care Attendant in Weslaco, TX
• Providers in Weslaco, 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 Aug 25, 2020; 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.