Organization Active NPI

Novak Primary Home Care LLC

  • Personal Care Attendant
  • Brownsville, TX
National Provider Identifier
1265064497
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
NOVAK PRIMARY HOME CARE LLC
Practice address
3536 Montclair St
Brownsville, TX 78520-2100
Phone
(956) 801-3100
Fax
(956) 801-3101
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Arnoldo Pena
Title
Owner Administrator
Phone
(956) 801-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

3536 Montclair St
Brownsville, TX 78520-2100

Mailing address

3536 Montclair St
Brownsville, TX 78520-2100
Phone (956) 801-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NOVAKPHCS@GMAIL.COM Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1265064497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MONTCLAIR ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785202100",
            "telephone_number": "956-801-3100",
            "fax_number": "956-801-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MONTCLAIR ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785202100",
            "telephone_number": "956-801-3100",
            "fax_number": "956-801-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAK PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ARNOLDO",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "956-801-3100"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NOVAKPHCS@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "E-MAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3536 Montclair St",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785202100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.