Organization Active NPI

Primavera Home Health, P.C.

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1558459248
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010611 Issued in TX
Legal business name
PRIMAVERA HOME HEALTH, P.C.
Doing business as
Primavera Home Health PC
Practice address
2829 Montana Ave Ste 210
El Paso, TX 79903-2431
Phone
(915) 771-8282
Fax
(915) 771-8989
NPI assigned
Oct 10, 2006
Last updated
Nov 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Sandra Luz Moreno
Title
Administrator
Phone
(915) 771-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010611 TX Primary

Addresses

Primary practice location

2829 Montana Ave Ste 210
El Paso, TX 79903-2431

Mailing address

2829 Montana Ave Ste 210
El Paso, TX 79903-2431
Phone (915) 771-8282

Other identifiers 1

IdentifierTypeStateIssuer
159704901MedicaidTX

Other names 1

  • Primavera Home Health PC Doing business as

National Provider Directory

National Provider Directory

Locations

2829 Montana Ave
Ste 210
El Paso, TX 79903
Phone (915) 771-8282

2829 Montana Ave
Ste 213
El Paso, TX 79903
Phone (915) 771-8282

7812 Gateway Blvd E
Ste 210
El Paso, TX 79915

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1558459248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 MONTANA AVE STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032431",
            "telephone_number": "915-771-8282",
            "fax_number": "915-771-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 MONTANA AVE STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032431",
            "telephone_number": "915-771-8282",
            "fax_number": "915-771-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAVERA HOME HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-11-16",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-771-8282"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159704901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primavera Home Health PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.