Grandpa & Grandma Primary Home Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRANDPA & GRANDMA PRIMARY HOME CARE

Practice address

123 Old Port Isabel Rd Ste A5
Brownsville, TX 78521-3542

Phone

(956) 554-9829

Fax

(956) 554-7336

NPI assigned

Feb 17, 2011

Organization subpart

No

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

Authorized official

Name

Juan Jose De Leon Jr.

Title

Owner

Phone

(956) 589-6813

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Grandpa & Grandma Primary Home Care Doing business as

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayra Lidia Rodriguez

  • Personal Care Attendant
  • Brownsville, TX
  • NPI 1235655226

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1629375209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 OLD PORT ISABEL RD STE A5",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-589-6813",
            "fax_number": "956-554-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 OLD PORT ISABEL RD STE A5",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213542",
            "telephone_number": "956-554-9829",
            "fax_number": "956-554-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDPA & GRANDMA PRIMARY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-589-6813",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032518",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "grandpa.grandma1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 Old Port Isabel Rd Ste A5",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785213542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "grandpa.grandma1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 Old Port Isabel Rd Ste A5",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785213542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grandpa & Grandma Primary Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grandpa & Grandma Primary Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.