Dominion Provider Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

016977 Issued in TX

Legal business name

DOMINION PROVIDER SERVICES, LLC

Practice address

1008 E Hillside Rd
Laredo, TX 78041-3287

Phone

(956) 568-3979

Fax

(956) 568-4014

NPI assigned

Oct 12, 2016

Last updated

Oct 12, 2016By 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

Mrs. Maria Elena Hinojosa

Title

Owner/Administrator

Phone

(956) 568-3979

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1205386455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E HILLSIDE RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413287",
            "telephone_number": "956-568-3979",
            "fax_number": "956-568-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E HILLSIDE RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413287",
            "telephone_number": "956-568-3979",
            "fax_number": "956-568-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION PROVIDER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "HINOJOSA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-568-3979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "016977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016977",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Dominguez
• Olinda Mercedes Dominguez, SLP
• Sandra Lizeth Dominguez, B.S. SLP ASSISTANT
• Veronica Yvette Dominguez
• Vicente Dominguez III, MSN, APRN, FNP-BC
• Dominion Senior Services, LLC
• Araceli Doncaster
• Dos Hermanas Ortiz, Inc. (Santa Rita Adult Day Care)
• Christina Dovalina
• Theodore Nicholas Dovalina, ASSISTANT SLP

• In Home Supportive Care Agency in Laredo, TX
• Providers in Laredo, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.