Amazing Grace Primary Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

AMAZING GRACE PRIMARY HOME CARE LLC

Practice address

220 E Ocean Blvd
Los Fresnos, TX 78566-3227

Phone

(956) 233-1718

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Javier C Cavazos

Title

Administrator

Phone

(956) 456-6422

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Maria Carmen Cavazos

  • Personal Care Attendant
  • Los Fresnos, TX
  • NPI 1457697070
  NPD

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1649539834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E OCEAN BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663227",
            "telephone_number": "956-233-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E OCEAN BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663227",
            "telephone_number": "956-233-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-456-6422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griselda Ann Alaniz, LPCS, LCDC
• Irene Alvarado Villarreal
• Carolina Alvarez Morales
• Julian Fernando Alvarez-Arroyave, M.D.
• Amy Jong Alvis, PHARM.D.
• Amikids Rio Grande Valley, Inc
• Janett Aranda, LVN
• Deborah Baker
• Amairani Valentina Benavides
• Serene Mandes Benavides

• Personal Care Attendant in Los Fresnos, TX
• Providers in Los Fresnos, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.