Blessed Primary Home Care, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

BLESSED PRIMARY HOME CARE, LLC

Practice address

214 W 17TH St
San Juan, TX 78589-2584

Phone

(956) 212-0642

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 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

Denise Alyssa Pena

Title

Administrator

Phone

(956) 212-0642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1447916028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 17TH ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892584",
            "telephone_number": "956-212-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 17TH ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892584",
            "telephone_number": "956-212-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED PRIMARY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ALYSSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-212-0642"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in San Juan, TX
• Providers in San Juan, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.