Organization Active NPI

Prime Caregiver Provider LLC

  • Personal Care Attendant
  • Arcola, TX
National Provider Identifier
1396699427
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
PRIME CAREGIVER PROVIDER LLC
Practice address
4955 Hitchings CT
Arcola, TX 77583-4932
Phone
(346) 810-0279
NPI assigned
Feb 25, 2026
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Rose Karen Baclayon, RN
Title
Ceo
Phone
(346) 810-0279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

4955 Hitchings CT
Arcola, TX 77583-4932

Mailing address

4955 Hitchings CT
Arcola, TX 77583-4932
Phone (346) 810-0279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1396699427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 HITCHINGS CT",
            "city": "ARCOLA",
            "state": "TX",
            "postal_code": "775834932",
            "telephone_number": "346-810-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 HITCHINGS CT",
            "city": "ARCOLA",
            "state": "TX",
            "postal_code": "775834932",
            "telephone_number": "346-810-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CAREGIVER PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "BACLAYON",
        "authorized_official_first_name": "ROSE KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-810-0279",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcola, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.