NPIMap

Organization Active NPI

Jennifer Cassandra Gonzalez

Doing business as Haven Home Care Agency

  • Personal Care Attendant
  • McAllen, TX
National Provider Identifier
1659137974
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
JENNIFER CASSANDRA GONZALEZ
Doing business as
Haven Home Care Agency
Practice address
4716 Buddy Owens Ave
McAllen, TX 78504-4807
Phone
(956) 534-6148
NPI assigned
Feb 23, 2024
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Jennifer Cassandra GonzalezNPI 1104508126
Title
Owner
Phone
(956) 984-8569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Personal Care Attendant 3747P1801X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4716 Buddy Owens Ave
McAllen, TX 78504-4807

Mailing address

3908 Toucan Ave
McAllen, TX 78504-5964
Phone (956) 984-8569

Other names 1

  • Haven Home Care Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

713 N Ware Rd
Ste 5
McAllen, TX 78501

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1659137974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 TOUCAN AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045964",
            "telephone_number": "956-984-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 BUDDY OWENS AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044807",
            "telephone_number": "956-534-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CASSANDRA GONZALEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-984-8569"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Home Care Agency",
            "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 May 16, 2024; 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.