Pandevida LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PANDEVIDA LLC

Doing business as

Pan de Vida Healthcare

Practice address

2916 N Taylor Rd Ste 2
McAllen, TX 78501-5409

Phone

(956) 887-7014

Fax

(956) 887-7015

NPI assigned

Oct 4, 2017

Last updated

Mar 16, 2021By 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

Ms. Gabriela Deleon

Title

Owner/Administrator

Phone

(956) 887-7014

Specialties & licenses 1

Addresses

Other names 1

• PAN DE VIDA HEALTHCARE Doing business as

Locations

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1447760400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 N TAYLOR RD STE 2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015409",
            "telephone_number": "956-887-7014",
            "fax_number": "956-887-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 N TAYLOR RD STE 2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015409",
            "telephone_number": "956-887-7014",
            "fax_number": "956-887-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDEVIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-887-7014",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAN DE VIDA HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennette Palomo, SLP
• Amber Palos, AUD
• Miguel Angel Palos Jr.
• Isaac Pan
• Panda's Therapy
• Jeffrey Panting Crespo, MD
• Avery Pantoja
• Karla Yaritza Pantoja, LCSW
• Paola D Wiernik MD PLLC
• Leah Par, APRN-CNP, AGPCNP

• 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 Mar 16, 2021; 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.