Organization Active NPI

MB Care LLC

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1477595940
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009463 Issued in TX
Legal business name
MB CARE LLC
Practice address
1401 E Yandell Dr
El Paso, TX 79902-5627
Phone
(915) 351-1851
Fax
(915) 581-2485
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Juan Mimbela, PTA
Title
Administrator
Phone
(915) 351-1851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009463 TX Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

1401 E Yandell Dr
El Paso, TX 79902-5627

Mailing address

1401 E Yandell Dr
El Paso, TX 79902-5627
Phone (915) 351-1851

Other identifiers 1

IdentifierTypeStateIssuer
178513101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050329001063 TX Part A Provider - Home Health Agency 5991751208 Practice locations: El Paso, TX

Home health agency certification: CCN 457989

Legal name
MB CARE LLC
Doing business as
MB CARE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 3, 2006
Last certification
Jul 23, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 15, 2004 in TX
Enrollment address
1401 E Yandell Dr
El Paso, TX 79902-5627

Care Compare: Home health agency

Medicare Care Compare
Listed as
M B Care LLCCCN 457989
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 3, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1047210MB Care LLC1401 E Yandell Dr, El Paso, TX 79902Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

Locations

1401 E Yandell Dr
El Paso, TX 79902
Phone (915) 351-1851

409 Executive Center Blvd
Ste 200
El Paso, TX 79902
Phone (915) 269-5365

4150 Rio Bravo St
Ste 217
El Paso, TX 79902
Phone (915) 269-5365

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frank Enriquez Individual W-2 Managing EmployeeDon Apr 29, 2024
Juan Mimbela Individual 5% Or Greater Direct Ownership InterestAdministrator Jun 25, 2019 50%
General Partnership InterestAlt Admin Jun 25, 2019 50%
Sagrario Mimbela Individual 5% Or Greater Direct Ownership InterestAlternate Administrator Jun 25, 2019 50%
General Partnership InterestAdmin Jun 25, 2019 50%
Corporate OfficerAdmin Jun 25, 2019
W-2 Managing EmployeeAdmin Jun 25, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1477595940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025627",
            "telephone_number": "915-351-1851",
            "fax_number": "915-581-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025627",
            "telephone_number": "915-351-1851",
            "fax_number": "915-581-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MIMBELA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-351-1851",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009463",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178513101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.