Dona Mari'S RGV Primary Home Care, LLC.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

DONA MARI'S RGV PRIMARY HOME CARE, LLC.

Practice address

2602 Gardenia Dr
San Juan, TX 78589-3854

Phone

(956) 961-5755

Fax

(956) 513-0429

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Vaneza Ochoa

Title

Cfo/Administrator

Phone

(956) 961-5755

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1427634682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 GARDENIA DR",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893854",
            "telephone_number": "956-310-8275",
            "fax_number": "956-513-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 GARDENIA DR",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893854",
            "telephone_number": "956-961-5755",
            "fax_number": "956-513-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONA MARI'S RGV PRIMARY HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "VANEZA",
        "authorized_official_title_or_position": "CFO/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-961-5755"
    },
    "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": "1427634682",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonel De la Garza
• Maribel De Los Santos
• Karen De Luna, M.S., CCC-SLP
• Dental Park of San Juan PLLC
• Armandina Lizeth Dickerson, SLPA
• Dr Americo M Baca PLLC
• Shelly L Duffey, PT
• Dulce Primary Home Care
• Alberto D Duran, MD
• Charles Ebiliekwe, PHARMD

• All providers in San Juan, TX
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.