To the Moon and Back Personal Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TO THE MOON AND BACK PERSONAL CARE LLC

Practice address

7318 Gillett St
Canutillo, TX 79835-6421

Phone

(915) 667-7320

NPI assigned

May 23, 2017

Last updated

May 23, 2017By 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

Leslie Daine RodriguezNPI 1932644663

Title

Owner

Phone

(915) 667-7320

Specialties & licenses 1

Addresses

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.

• Leslie Daine Rodriguez

  • In Home Supportive Care Agency
  • Canutillo, TX
  • NPI 1932644663
  NPD (past) Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1285162149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798350793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 GILLETT ST",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798356421",
            "telephone_number": "915-667-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO THE MOON AND BACK PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "DAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-667-7320"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Romero
• Elizabeth Rosalez, LMHC
• Liliana Sandoval, LVN
• Griselda Anabel Stewart, LMSW
• Tarleton Dialysis LLC (Canutillo Dialysis)
• Daena Torres, LMHC
• Total Care Institute PLLC
• Lorena Trevizo
• Sam Tilden Tyson, M.D.
• Upper Valley Medical Clinic, PLLC

• In Home Supportive Care Agency in Canutillo, TX
• Providers in Canutillo, 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 May 23, 2017; 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.