Organization Active NPI

Illumina LLC

Doing business as Merida Health Care Group

  • Community Based Hospice Care Agency
  • Corpus Christi, TX
National Provider Identifier
1407136476
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ILLUMINA LLC
Doing business as
Merida Health Care Group
Practice address
4444 Corona Dr
Ste 212
Corpus Christi, TX 78411-4324
Phone
(361) 853-2000
Fax
(361) 853-2017
NPI assigned
Aug 23, 2011
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Mr. Rodney Mesquias, RN
Title
Owner
Phone
(956) 423-1197

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X TX Primary
Nursing Care Agency 251J00000X NU
Voluntary or Charitable Agency 251V00000X NU

Addresses

Primary practice location

4444 Corona Dr
Ste 212
Corpus Christi, TX 78411-4324

Mailing address

PO Box 1230
Harlingen, TX 78551-1230
Phone (956) 423-1197

Other names 1

  • Merida Health Care Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1407136476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785511230",
            "telephone_number": "956-423-1197",
            "fax_number": "956-440-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR",
            "address_2": "STE 212",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114324",
            "telephone_number": "361-853-2000",
            "fax_number": "361-853-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "MESQUIAS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-423-1197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merida Health Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.