Active NPI
Amigos Para Siempre Provider Service LLC
- Personal Care Attendant
- Palmhurst, TX
National Provider Identifier
1285122242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- AMIGOS PARA SIEMPRE PROVIDER SERVICE LLC
- Practice address
- 305 Elida St
Palmhurst, TX 78573-3614 - Phone
- (956) 789-7280
- Fax
- (956) 583-3993
- NPI assigned
- Apr 25, 2018
- Last updated
- Jul 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Flores
- Title
- Administration
- Phone
- (956) 789-7280
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Home Health Agency | 251E00000X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | Primary |
Addresses
Primary practice location
305 Elida St
Palmhurst, TX 78573-3614
Mailing address
305 Elida St
Palmhurst, TX 78573-3614
Phone (956) 789-7280
National Provider Directory
National Provider DirectoryLocations
305 Elida St
Palmhurst, TX 78573
Phone (956) 584-1901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1285122242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 ELIDA ST",
"city": "PALMHURST",
"state": "TX",
"postal_code": "785733614",
"telephone_number": "956-789-7280",
"fax_number": "956-583-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ELIDA ST",
"city": "PALMHURST",
"state": "TX",
"postal_code": "785733614",
"telephone_number": "956-789-7280",
"fax_number": "956-583-3993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMIGOS PARA SIEMPRE PROVIDER SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-25",
"last_updated": "2024-07-10",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "956-789-7280"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmhurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.