Organization Active NPI

JC's Legacy Provider Home Care, LLC.

  • Personal Care Attendant
  • Edinburg, TX
National Provider Identifier
1508586561
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
JC'S LEGACY PROVIDER HOME CARE, LLC.
Practice address
1020 Lee Cir
Edinburg, TX 78539-7423
Phone
(956) 207-1964
Fax
(956) 338-5753
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
David Erik Garcia
Title
Administrator
Phone
(956) 207-1964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary

Addresses

Primary practice location

1020 Lee Cir
Edinburg, TX 78539-7423

Mailing address

1020 Lee Cir
Edinburg, TX 78539-7423
Phone (956) 207-1964

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1508586561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LEE CIR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397423",
            "telephone_number": "956-207-1964",
            "fax_number": "956-338-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LEE CIR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397423",
            "telephone_number": "956-207-1964",
            "fax_number": "956-338-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC'S LEGACY PROVIDER HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-207-1964"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 30, 2022; 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.