A Servant'S Heart Primary Home Care, LLC.
Organization Active NPI Home Health Agency · Brownsville, TX
NPI 1376114256 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1376114256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- A SERVANT'S HEART PRIMARY HOME CARE, LLC.
- Practice address
- 5001 Stagecoach Trail
Suite R
Brownsville, TX 78526 - Phone
- (956) 443-0141
- Fax
- (956) 443-0125
- NPI assigned
- Jul 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Laura Garza
- Title
- Administrator
- Phone
- (956) 443-0141
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2313873 | A Servant'S Heart Primary Home Care, LLC | Certificate of waiver | Nov 7, 2026 |
National Provider Directory
- Tax ID family
- A Servant'S Heart Primary Home Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Personal Care Attendant |
3747P1801X |
Addresses
Primary practice location
5001 Stagecoach Trail
Suite R
Brownsville, TX 78526
Mailing address
5001 Stagecoach Trail
Suite R
Brownsville, TX 78526-4548
Phone (956) 443-0141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05 | Medicaid | TX |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.