Organization Active NPI

Por Su Gracia Primary Home Care LLC

  • Personal Care Attendant
  • Brownsville, TX
National Provider Identifier
1518582162
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
POR SU GRACIA PRIMARY HOME CARE LLC
Practice address
5233 Sagebrush Rd
Brownsville, TX 78526-4522
Phone
(956) 543-8700
NPI assigned
Jun 9, 2020
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Jazmin Martinez
Title
Owner/Administrator
Phone
(956) 543-8700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

5233 Sagebrush Rd
Brownsville, TX 78526-4522

Mailing address

5233 Sagebrush Rd
Brownsville, TX 78526-4522
Phone (956) 543-8700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1518582162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 SAGEBRUSH RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264522",
            "telephone_number": "956-543-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 SAGEBRUSH RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264522",
            "telephone_number": "956-543-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POR SU GRACIA PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-543-8700"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.