Organization Active NPI

Sergio Trevino

  • Durable Medical Equipment & Medical Supplies
  • Rio Grande City, TX
National Provider Identifier
1609908425
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0069667 Issued in TX
Legal business name
SERGIO TREVINO
Practice address
400 E 2ND St
Ste B
Rio Grande City, TX 78582-5633
Phone
(956) 487-0233
Fax
(956) 487-4749
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Mr. Sergio Trevino
Title
Administrator
Phone
(956) 487-0233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0069667 TX Primary

Addresses

Primary practice location

400 E 2ND St
Ste B
Rio Grande City, TX 78582-5633

Mailing address

400 E 2ND St Ste B
Rio Grande City, TX 78582-3808
Phone (956) 487-0233

Other identifiers 4

IdentifierTypeStateIssuer
173211701OtherTXCCP
173211702MedicaidTX
5308990001OtherTXMEDICARE
173211701MedicaidTX

Other names 1

  • OMNI CARE MEDICAL SUPPLIES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930020703 TX DME Supplier - Medical Supply Company 8820208747 Practice locations: Rio Grande City, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Omni Care Medical Supplies400 E 2ND St, Rio Grande City, TX 78582-3808(956) 487-0233 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Li… Accepts assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5107 S Embassy St
Ste A
Rio Grande City, TX 78582
Phone (956) 487-7551

400 E 2nd St
#B
Rio Grande City, TX 78582
Phone (956) 487-0233

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prestige Home Health Services, LLCRio Grande City, TX, CCN 747837 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 17, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1609908425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST STE B",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823808",
            "telephone_number": "956-487-0233",
            "fax_number": "956-487-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST",
            "address_2": "STE B",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785825633",
            "telephone_number": "956-487-0233",
            "fax_number": "956-487-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO TREVINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-487-0233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0069667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCP",
            "identifier": "173211701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173211702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5308990001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173211701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI CARE MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.