Expert Primary Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

017358 Issued in TX

Legal business name

EXPERT PRIMARY HOME HEALTH CARE LLC

Practice address

909 Business Park Dr Ste 10
Mission, TX 78572-6054

Phone

(956) 387-0500

Fax

(956) 387-0501

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Stacey P Anaya, RN

Title

Administrator

Phone

(956) 387-0500

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Expert Provider Services Doing business as

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1487717237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BUSINESS PARK DR STE 10",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726054",
            "telephone_number": "956-387-0500",
            "fax_number": "956-387-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BUSINESS PARK DR STE 10",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726054",
            "telephone_number": "956-387-0500",
            "fax_number": "956-387-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT PRIMARY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "ANAYA",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-387-0500",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "017358",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185371501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001029665",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expert Provider Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Mission, TX
• Providers in Mission, 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 Apr 28, 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.