CCJ Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

017044 Issued in TX

Legal business name

CCJ HOME CARE LLC

Doing business as

Sunshine Home Health Care

Practice address

522 S 11TH St
McAllen, TX 78501-4920

Phone

(956) 683-0777

Fax

(956) 683-0778

NPI assigned

Jan 24, 2013

Last updated

Jan 31, 2022By 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

Carlos Aranda

Title

Administrator

Phone

(956) 683-0777

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Sunshine Home Health Care Doing business as

Practitioners 3

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.

• Patricia Cervantes, C.O.T.A

  • Occupational Therapy Assistant
  • McAllen, TX
  • NPI 1326528191
  NPD (past)
• Evelyn Hernandez

  • Home Health Agency
  • McAllen, TX
  • NPI 1588142285
  NPD (past)
• Jesus Ramiro Leal

  • Speech-Language Assistant
  • Edinburg, TX
  • NPI 1649759564
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1447598578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S 11TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014920",
            "telephone_number": "956-683-0777",
            "fax_number": "956-683-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S 11TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014920",
            "telephone_number": "956-683-0777",
            "fax_number": "956-683-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCJ HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ARANDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-683-0777"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "017044",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319891301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319891302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunshine Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Librado Omar Cavazos, FNP-BC
• Norma Lydia Cavazos, OTR
• Samantha Cavazos
• Jose Luis Cazares Jr., D.D.S.
• Yajaira Cazares
• Laura Maria Cedeno Macias, M.D.
• Estela Cedillo, DNP,RN, FNP-BC
• Lizbeth Cedillo
• Maria Adela Cedillo, RN
• Rosario S Cedillo, MACCSLP

• Home Health Agency in McAllen, TX
• Providers in McAllen, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.