Active NPI
La Buena Salud Home Health, LLC
- Home Health Agency
- Alice, TX
National Provider Identifier
1508066523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.