SJ Healthcare Agency LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SJ HEALTHCARE AGENCY LLC

Practice address

1212 Garza St
Mercedes, TX 78570-3634

Phone

(956) 520-8186

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Jazmin A Coronado

Title

Administrator

Phone

(956) 355-2233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1639724347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 GARZA ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785703634",
            "telephone_number": "956-520-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GARZA ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785703634",
            "telephone_number": "956-520-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-355-2233"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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