Organization Active NPI

Humberto Vela Jr.

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1497851794
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010492 Issued in TX
Legal business name
HUMBERTO VELA JR.
Practice address
1001 Corpus Christi St
Laredo, TX 78040-5259
Phone
(956) 717-1204
Fax
(956) 717-2604
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Mr. Humberto Vela Jr., RN
Title
Director of Nursing
Phone
(956) 717-1204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010492 TX Primary

Addresses

Primary practice location

1001 Corpus Christi St
Laredo, TX 78040-5259

Mailing address

1001 Corpus Christi St
Laredo, TX 78040-5259
Phone (956) 717-1204

Other identifiers 2

IdentifierTypeStateIssuer
001016466MedicaidTX
7003736OtherTXSTATE ASSIGNED ID NUMBER

Other names 1

  • San Agustin Home Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Corpus Christi St
Laredo, TX 78040
Phone (956) 717-1204

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1497851794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405259",
            "telephone_number": "956-717-1204",
            "fax_number": "956-717-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405259",
            "telephone_number": "956-717-1204",
            "fax_number": "956-717-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBERTO VELA JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "956-717-1204",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016466",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ASSIGNED ID NUMBER",
            "identifier": "7003736",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Agustin Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.