Padre Home and Clinic Healthcare, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PADRE HOME AND CLINIC HEALTHCARE, PLLC

Practice address

3210 Reid Dr Ste M
Corpus Christi, TX 78404-2524

Phone

(361) 882-1917

Fax

(361) 882-7507

NPI assigned

Dec 23, 2021

Organization subpart

No

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

Authorized official

Name

Mary Dolores Garcia, APRN-CNPNPI 1952472664

Title

Owner

Phone

(361) 533-1023

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Mary Dolores Garcia, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1952472664
  Medicare reassignment Care Compare group NPD Authorized official
• Andres Bonelli, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Corpus Christi, TX
  • NPI 1245225663
  Medicare reassignment Care Compare group NPD
• Melissa Garcia, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1215618459
  Medicare reassignment

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1386304871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 REID DR STE M",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042524",
            "telephone_number": "361-882-1917",
            "fax_number": "361-882-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 REID DR STE M",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042524",
            "telephone_number": "361-882-1917",
            "fax_number": "361-882-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRE HOME AND CLINIC HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-533-1023",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Packard, DDS
• Kevin Earl Packard, D.D.S.
• Viviana Padilla
• Padre Behavioral Health System, LLC
• Padre Dermatology PLLC
• Padre Home Health, Inc.
• Padre Island Counseling, PLLC
• Padre Island ER Physicians PLLC
• Ana Maria Paez, MD
• Jose E Pagan, MD

• Family Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.