Organization Active NPI

Amigos Para Siempre Provider Service LLC

  • Personal Care Attendant
  • Palmhurst, TX
National Provider Identifier
1285122242
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.