Liberty Primary Home Care, LLC.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

LIBERTY PRIMARY HOME CARE, LLC.

Practice address

4701 Fir Ave
McAllen, TX 78501-8627

Phone

(956) 970-9100

Fax

(956) 517-2021

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 2020By 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

Vanessa Irene Regules

Title

Administrator

Phone

(956) 970-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1346837630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 FIR AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785018627",
            "telephone_number": "956-970-9100",
            "fax_number": "956-517-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 FIR AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785018627",
            "telephone_number": "956-970-9100",
            "fax_number": "956-517-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PRIMARY HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "REGULES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-970-9100"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "libertyprimaryhomecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "liberyprimaryhomecare@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4701 Fir Ave",
            "city": "McAllen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785018627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Personal Care Attendant in McAllen, TX
• Providers in McAllen, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.