Maria Carmen Cavazos

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

220 E Ocean Blvd
Los Fresnos, TX 78566-3227

Phone

(956) 233-1718

NPI assigned

Dec 31, 2012

Last updated

Sep 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amazing Grace Primary Home Care LLC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amazing Grace Primary Home Care LLC

  • Personal Care Attendant
  • Los Fresnos, TX
  • NPI 1649539834
  NPD

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1457697070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E OCEAN BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663227",
            "telephone_number": "956-233-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E OCEAN BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663227",
            "telephone_number": "956-233-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2054 Baja Cir",
            "address_purpose": "LOCATION",
            "city": "Los Fresnos",
            "state": "TX",
            "postal_code": "785664217",
            "country_code": "US",
            "telephone_number": "956-434-3924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "MARIA",
        "middle_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMAZING GRACE",
            "last_name": "HOME CARE LLC",
            "middle_name": "PRIMARY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rosanna Betancourt, APRN
• Amber Betz, DPT
• Camila Community Health Services, LLC.
• Ruby Castillo, CNA
• Noelia Castro, OTR
• Melissa M. Cavazos, COTA
• Celeste Chamberlain
• Mark Anthony Chapa, LPC
• Cibre LC (My Grief Guru)
• Ana Victoria Cisneros

• Personal Care Attendant in Los Fresnos, TX
• Providers in Los Fresnos, 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 Sep 14, 2018; 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.