Organization Active NPI

Bluebonnet Primary Home Care LLC

  • In Home Supportive Care Agency
  • Houston, TX
National Provider Identifier
1275356446
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUEBONNET PRIMARY HOME CARE LLC
Practice address
5226 Pomander Rd
Houston, TX 77021-3148
Phone
(956) 589-5026
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Vanessa TrevinoNPI 1306499579
Title
Administrator
Phone
(956) 589-5026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

5226 Pomander Rd
Houston, TX 77021-3148

Mailing address

1575 Military Hwy 281 Ste 106
Brownsville, TX 78520-3408
Phone (956) 517-6260

National Provider Directory

National Provider Directory
Tax ID family
Bluebonnet Primary Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1575 Military Highway 281
Ste 106
Brownsville, TX 78520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1275356446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 MILITARY HWY 281 STE 106",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203408",
            "telephone_number": "956-517-6260",
            "fax_number": "956-372-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 POMANDER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770213148",
            "telephone_number": "956-589-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-589-5026"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.