Professional Personal Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROFESSIONAL PERSONAL CARE, LLC

Practice address

32410 Waterhouse CT
Fulshear, TX 77441-4077

Phone

(713) 907-4342

NPI assigned

Mar 7, 2020

Last updated

Mar 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Raydon Antunez, OTA

Title

Owner/Administrator

Phone

(713) 907-4342

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim Raydon Antunez, OTA

  • Occupational Therapy Assistant
  • Pasadena, TX
  • NPI 1497235410
  NPD (past)

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583539200000",
    "number": "1396370664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32410 WATERHOUSE CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774414077",
            "telephone_number": "713-907-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32410 WATERHOUSE CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774414077",
            "telephone_number": "713-907-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A",
        "authorized_official_last_name": "ANTUNEZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RAYDON",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "713-907-4342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTA"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Policino
• George Pons
• Abigail Preece
• Price Gordon Services, LLC (Veteran National Transportation)
• Procare Freelance, LLC
• Providence Assisted Living Solutions
• Brian Michael Quinn, RN, AGACNP-BC
• Lucy E Quinn, FNP-C
• Sanjukta Rajput
• Aquana Regina Randle, LMFT

• In Home Supportive Care Agency in Fulshear, TX
• Providers in Fulshear, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.