Cruz Primary Homecare, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

CRUZ PRIMARY HOMECARE, LLC

Practice address

700 E Griffin Pkwy Ste 117
Mission, TX 78572-2939

Phone

(956) 766-7253

Fax

(956) 766-7256

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Yadira Rubio

Title

Owner

Phone

(956) 766-7253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Santa Elena Primary Home Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Cruz

  • Personal Care Attendant
  • Mission, TX
  • NPI 1619586526
  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1487242582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E GRIFFIN PKWY STE 117",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722939",
            "telephone_number": "956-766-7253",
            "fax_number": "956-766-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E GRIFFIN PKWY STE 117",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722939",
            "telephone_number": "956-766-7253",
            "fax_number": "956-766-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ PRIMARY HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-766-7253"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020835",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Elena Primary Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Covenant Infusion Center,Inc.
• Alfred V Crixell Jr., LPC
• Gary Stephen Crowe, CRNA
• Cruz Homecare, LLC
• Cruz Medical Supply, LLC
• Denise Cruz
• Monica Cruz, RN,FNP-BC
• Octavio Cruz, L.P.C.
• Pedro Cruz
• CSL Enterprises Inc.

• Personal Care Attendant in Mission, TX
• Providers in Mission, 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 Mar 16, 2023; 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.