Organization Active NPI

Bendicion Divina Personal Assistance Services, LLC

  • Personal Care Attendant
  • Brownsville, TX
National Provider Identifier
1346860731
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
BENDICION DIVINA PERSONAL ASSISTANCE SERVICES, LLC
Practice address
950 E. Alton Gloor Blvd
Brownsville, TX 78526
Phone
(956) 572-9480
Fax
(956) 621-0700
NPI assigned
Apr 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Brenda Cano
Title
Administrator
Phone
(956) 572-9480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

950 E. Alton Gloor Blvd
Brownsville, TX 78526

Mailing address

950 E. Alton Gloor Blvd.
Brownsville, TX 78526
Phone (956) 572-9480

Other identifiers 1

IdentifierTypeStateIssuer
0000MedicaidTX

National Provider Directory

National Provider Directory

Locations

950 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 541-4410

NPI Registry JSON

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1346860731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E. ALTON GLOOR BLVD.",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-572-9480",
            "fax_number": "956-621-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E. ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-572-9480",
            "fax_number": "956-621-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDICION DIVINA PERSONAL ASSISTANCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-25",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-572-9480"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.