Organization Active NPI

The Mustard Seed, LLC Medical Equipment & Supplies

  • Durable Medical Equipment & Medical Supplies
  • Edinburg, TX
National Provider Identifier
1487796355
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE MUSTARD SEED, LLC MEDICAL EQUIPMENT & SUPPLIES
Practice address
519 W University Dr
Edinburg, TX 78539-3236
Phone
(956) 383-1555
Fax
(956) 383-1558
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Ms. Minerva F Gutierrez
Title
Owner
Phone
(956) 383-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

519 W University Dr
Edinburg, TX 78539-3236

Mailing address

519 W University Dr
Edinburg, TX 78539-3236
Phone (956) 383-1555

Other identifiers 1

IdentifierTypeStateIssuer
185086901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930093117 TX DME Supplier - Medical Supply Company 5294939161 Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

2314 E Freddy Gonzalez Dr
Edinburg, TX 78542
Phone (956) 383-1555

519 W University Dr
Edinburg, TX 78539
Phone (956) 383-1555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1487796355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393236",
            "telephone_number": "956-383-1555",
            "fax_number": "956-383-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393236",
            "telephone_number": "956-383-1555",
            "fax_number": "956-383-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MUSTARD SEED, LLC MEDICAL EQUIPMENT & SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-383-1555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185086901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.