Encino Primary Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

ENCINO PRIMARY HOME CARE LLC

Doing business as

Encino Primary Home Care LLC

Practice address

309 W Pike Blvd Ste a
Weslaco, TX 78596-4723

Phone

(956) 929-1054

Fax

(877) 784-1426

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Maria Carmen Cavazos

Title

Administrator/ Managing Member

Phone

(956) 929-1054

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Encino Primary Home Care LLC Doing business as

Locations

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1205375763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W PIKE BLVD STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964723",
            "telephone_number": "956-929-1054",
            "fax_number": "877-784-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PIKE BLVD STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964723",
            "telephone_number": "956-929-1054",
            "fax_number": "877-784-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/ MANAGING MEMBER",
        "authorized_official_telephone_number": "956-929-1054"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385809401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Primary Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Encino Primary Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jun 21, 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.