Lifeline RGV LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000355 Issued in TX

Legal business name

LIFELINE RGV LLC

Practice address

4601 Buddy Owens Ave
McAllen, TX 78504-4827

Phone

(956) 683-8181

Fax

(956) 683-8191

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Neyda G. Bonilla

Title

Manager

Phone

(956) 683-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Mahan Jr.

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1154749257
  NPD (past)
• Christi Myers, PHD, LPC, LCDC

  • Mental Health Counselor
  • Balcones Heights, TX
  • NPI 1750982203
  NPD (past)
• Frank Quinones, LCSW

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1114268562
  NPD (past)

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1366779035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BUDDY OWENS AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044827",
            "telephone_number": "956-683-8181",
            "fax_number": "956-683-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUDDY OWENS AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044827",
            "telephone_number": "956-683-8181",
            "fax_number": "956-683-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE RGV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "NEYDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-683-8181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210568601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Medical Supply, LLC
• Life Revitalizing System, LLC (Relax to Sleep Solution Center)
• Life Skills Therapy Center
• Life Touch Primary Home Care Services, LLC (Life Touch Primary Home Care Services)
• Lifecare Hospitals of South Texas Inc
• Lifestyle Education & Awareness Program
• Lighthouse Mental Health & Consulting PLLC
• Liliana Padilla-Williams MD PA
• Lillyana G. Rodriguez LPC P.a.
• Adriana Limas, SLP

• Ambulance in McAllen, TX
• Providers in McAllen, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.