Penjamo Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010736 Issued in TX

Legal business name

PENJAMO INC.

Doing business as

Our Brother's Keeper Provider Services

Practice address

308 County Road 140
Alice, TX 78332-7636

Phone

(361) 562-1068

NPI assigned

Mar 2, 2008

Last updated

Jun 30, 2008By 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. Luis Alonso Silva

Title

Dir of Pas

Phone

(361) 562-1068

Specialties & licenses 1

Addresses

Other names 1

• OUR BROTHER'S KEEPER PROVIDER SERVICES Doing business as

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

{
    "created_epoch": "1204416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1205006673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1758",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783331758",
            "telephone_number": "361-562-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COUNTY ROAD 140",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783327636",
            "telephone_number": "361-562-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENJAMO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-02",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ALONSO",
        "authorized_official_title_or_position": "DIR OF PAS",
        "authorized_official_telephone_number": "361-562-1068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR BROTHER'S KEEPER PROVIDER SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Lea Paiz
• Nirupama P Patel, M.D.
• Amruta Patwardhan, P.T.
• Chelsi Yvette Pena, SLPA
• Tracy Denise Pena, FNP
• Michelle Ann Perales
• Judy G Perdue, NP
• Alyssa Perez
• Clarissa Perez, ATC, LAT
• Elena Perez

• Home Health Agency in Alice, TX
• Providers in Alice, 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 Jun 30, 2008; 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.