Amen Provider Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

018296 Issued in TX

Legal business name

AMEN PROVIDER SERVICES INC

Practice address

2611 N Texas Blvd Ste 8
Weslaco, TX 78599-4062

Phone

(956) 854-4429

Fax

(956) 854-4432

NPI assigned

May 30, 2017

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramona C Suarez

Title

Administrator

Phone

(956) 854-4429

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1528596095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N TEXAS BLVD STE 8",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785994062",
            "telephone_number": "956-854-4429",
            "fax_number": "956-854-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N TEXAS BLVD STE 8",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785994062",
            "telephone_number": "956-854-4429",
            "fax_number": "956-854-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEN PROVIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-854-4429"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "018296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3944241-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCSSA",
            "identifier": "018296",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001029494",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amigo Home Health Agency, Inc
• Amigos Para Siempre Adult Day Care
• Amol a Utturkar DO PLLC
• Amor Counseling Services Inc

• In Home Supportive Care Agency in Weslaco, TX
• Providers in Weslaco, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.