Organization Active NPI

La Buena Salud Home Health, LLC

  • Home Health Agency
  • Alice, TX
National Provider Identifier
1508066523
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LA BUENA SALUD HOME HEALTH, LLC
Practice address
627 N King St Ste 4
Alice, TX 78332-4660
Phone
(361) 664-7171
Fax
(361) 664-7174
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Mr. Lorenzo Moncevais III
Title
Owner/Administrator
Phone
(361) 664-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

627 N King St Ste 4
Alice, TX 78332-4660

Mailing address

627 N King St Ste 4
Alice, TX 78332-4660
Phone (361) 664-7171

National Provider Directory

National Provider Directory

Locations

627 N King St
Ste 4
Alice, TX 78332
Phone (361) 664-7171

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1508066523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 N KING ST STE 4",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324660",
            "telephone_number": "361-664-7171",
            "fax_number": "361-664-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 N KING ST STE 4",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324660",
            "telephone_number": "361-664-7171",
            "fax_number": "361-664-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BUENA SALUD HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "MONCEVAIS",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "361-664-7171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.