Provision Home Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

017533 Issued in TX

Legal business name

PROVISION HOME CARE SERVICES, LLC

Doing business as

Provision Home Care Services, LLC

Practice address

617 S Texas Blvd, Ste a
Weslaco, TX 78596

Phone

(956) 854-4518

Fax

(956) 854-4488

NPI assigned

Mar 24, 2016

Last updated

Jan 30, 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

Ms. Marisela Gonzalez, RN, BSNNPI 1508517129

Title

Don/Administrator

Phone

(956) 975-9264

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Provision Home Care Services, LLC Doing business as

Locations

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.

• Marisela Gonzalez, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1508517129
  NPD Authorized official

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1639531197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785990163",
            "telephone_number": "956-854-4518",
            "fax_number": "956-854-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S TEXAS BLVD, STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-854-4518",
            "fax_number": "956-854-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARISELA",
        "authorized_official_title_or_position": "DON/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-975-9264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "017533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362153401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3621534",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362153402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provision Home Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.