Active NPI
Cielo Azul Primary Home Care, Inc.
- Personal Care Attendant
- Brownsville, TX
National Provider Identifier
1386389229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- CIELO AZUL PRIMARY HOME CARE, INC.
- Practice address
- 6598 Caroline Pine
Brownsville, TX 78526 - Phone
- (956) 551-7673
- NPI assigned
- May 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marco De Leon
- Title
- Administrator
- Phone
- (956) 551-7673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
6598 Caroline Pine
Brownsville, TX 78526
Mailing address
6598 Caroline Pine
Brownsville, TX 78526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Cielo Azul Primary Home Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Personal Care Attendant
- Brownsville, TX
- NPI 1740923028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651622400000",
"number": "1386389229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6598 CAROLINE PINE",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6598 CAROLINE PINE",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78526",
"telephone_number": "956-551-7673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIELO AZUL PRIMARY HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2022-05-04",
"certification_date": "2022-04-01",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "MARCO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "956-551-7673"
},
"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": "00000",
"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 May 4, 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.