Organization Active NPI

Pura Vida PHC LLC

  • Home Health Agency
  • Edinburg, TX
National Provider Identifier
1538601919
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURA VIDA PHC LLC
Practice address
108 N Jackson Rd
Ste 13
Edinburg, TX 78541-3692
Phone
(956) 720-0216
Fax
(866) 781-3114
NPI assigned
Nov 16, 2016
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Mr. Armando M Guerra, J.D.
Title
Managing Member/Owner
Phone
(956) 739-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

108 N Jackson Rd
Ste 13
Edinburg, TX 78541-3692

Mailing address

108 N Jackson Rd
Ste 13
Edinburg, TX 78541-3692
Phone (956) 720-0216

National Provider Directory

National Provider Directory

Locations

108 N Jackson Rd
Ste 13
Edinburg, TX 78541
Phone (956) 603-5897

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1538601919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N JACKSON RD",
            "address_2": "STE 13",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785413692",
            "telephone_number": "956-720-0216",
            "fax_number": "866-781-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N JACKSON RD",
            "address_2": "STE 13",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785413692",
            "telephone_number": "956-720-0216",
            "fax_number": "866-781-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA PHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "956-739-1920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Nov 16, 2016; 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.