Premiere Angel Care Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

015568 Issued in TX

Legal business name

PREMIERE ANGEL CARE HOME HEALTH

Practice address

3248 West Hwy 44
Alice, TX 78332-9364

Phone

(361) 661-9701

Fax

(361) 664-0676

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Marissa Benavides, LVN

Title

Owner

Phone

(361) 661-9701

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Premiere Angel Care Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premiere Angel Care Home Health LLC

  • Home Health Agency
  • Alice, TX
  • NPI 1679813117
  NPD tax ID

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1376920355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 COUNTY ROAD 133",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783329364",
            "telephone_number": "361-661-9701",
            "fax_number": "361-664-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 WEST HWY 44",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783329364",
            "telephone_number": "361-661-9701",
            "fax_number": "361-664-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE ANGEL CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-661-9701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premiere Express Transportation LLC
• Pure Air Oxygen Supply, LLC
• Purposeful Therapy Solutions, P.L.L.C.

• Home Health Agency in Alice, TX
• Providers in Alice, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.