Organization Active NPI

Rodney S. Carlson

Doing business as Life HCS Program

  • Health Maintenance Organization
  • McAllen, TX
National Provider Identifier
1649473992
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
RODNEY S. CARLSON
Doing business as
Life HCS Program
Practice address
1521 Trenton Rd
McAllen, TX 78504-3146
Phone
(956) 631-4466
Fax
(956) 631-4476
NPI assigned
Jun 6, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Mr. Rodney Shane Carlson
Title
Owner Program Director
Phone
(956) 683-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

1521 Trenton Rd
McAllen, TX 78504-3146

Mailing address

2017 Oriole Ave
McAllen, TX 78504-3861
Phone (956) 683-9166

Other names 1

  • LIFE HCS PROGRAM Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1649473992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 ORIOLE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043861",
            "telephone_number": "956-683-9166",
            "fax_number": "956-631-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 TRENTON RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043146",
            "telephone_number": "956-631-4466",
            "fax_number": "956-631-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY S. CARLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "956-683-9166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE HCS PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.