Organization Active NPI

Cielo Azul Primary Home Care, Inc.

  • Personal Care Attendant
  • Brownsville, TX
National Provider Identifier
1386389229
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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

Updated by the provider on May 4, 2022

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)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

6598 Caroline Pine
Brownsville, TX 78526

Mailing address

6598 Caroline Pine
Brownsville, TX 78526

Other identifiers 1

IdentifierTypeStateIssuer
00000MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Cielo Azul Primary Home Care Inc2 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.

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.

Verify at the official NPI Registry.