Richard Garza Dba la Guadalupana Primary Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

007185 Issued in TX

Legal business name

RICHARD GARZA DBA LA GUADALUPANA PRIMARY HOME CARE AGENCY

Practice address

338 N Monroe St
Eagle Pass, TX 78852-4562

Phone

(830) 758-1307

Fax

(830) 757-8503

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Garza

Title

Administrator

Phone

(830) 758-1307

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1689872087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 N MONROE ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524562",
            "telephone_number": "830-758-1307",
            "fax_number": "830-757-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 N MONROE ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524562",
            "telephone_number": "830-758-1307",
            "fax_number": "830-757-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GARZA DBA LA GUADALUPANA PRIMARY HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-758-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER",
            "identifier": "001001121",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.