Active NPI
Blanquita's Primary Home Care, LLC
- Personal Care Attendant
- Eagle Pass, TX
National Provider Identifier
1407409923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- BLANQUITA'S PRIMARY HOME CARE, LLC
- Doing business as
- Blanquita's Primary Home Care, LLC
- Practice address
- 1571 S Veterans Blvd Ste a
Eagle Pass, TX 78852-6674 - Phone
- (830) 776-5031
- Fax
- (830) 776-5031
- NPI assigned
- Jul 23, 2019
- Last updated
- Jul 23, 2019
- 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
- Ms. Blanca E Perales, LVN
- Title
- Owner/Administrator
- Phone
- (830) 776-5031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1571 S Veterans Blvd Ste a
Eagle Pass, TX 78852-6674
Mailing address
1571 S Veterans Blvd Ste a
Eagle Pass, TX 78852-6674
Phone (830) 776-5031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841536638 | Medicaid | TX |
Other names 1
- Blanquita's Primary Home Care, LLC
National Provider Directory
National Provider DirectoryLocations
1571 S Veterans Blvd
Ste A
Eagle Pass, TX 78852
Phone (830) 776-5031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563840000000",
"number": "1407409923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 S VETERANS BLVD STE A",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788526674",
"telephone_number": "830-776-5031",
"fax_number": "830-776-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 S VETERANS BLVD STE A",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788526674",
"telephone_number": "830-776-5031",
"fax_number": "830-776-5031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLANQUITA'S PRIMARY HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A",
"authorized_official_last_name": "PERALES",
"authorized_official_first_name": "BLANCA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "830-776-5031",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841536638",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blanquita's Primary Home Care, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagle Pass, TX
- Bill Alexander (Bone & Joint Clinic Of Eagle Pass)
- Billy Don Alexander (Bone & Joint Clinic Of Eagle Pass)
- Billy Don Alexander (Bone & Joint Clinic Of Eagle Pass)
- Bio-Medical Applications of Texas, Inc. (Bma Eagle Pass)
- Blanquita's Adult Day Care Center LLC
- Maria Liza Blessett, P.T.
- Srilekha Bodepudi, MD
- Janet E. Boone, MD
- Eduardo Rogelio Bres
- Bridge of Life Hospice, Inc (Bridge of Life Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.