Organization Active NPI

Prestige Home Health Services, LLC

  • Home Health Agency
  • Rio Grande City, TX
National Provider Identifier
1689972457
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRESTIGE HOME HEALTH SERVICES, LLC
Practice address
400 E 2ND St
Suite a
Rio Grande City, TX 78582-3808
Phone
(956) 716-8505
Fax
(956) 716-8915
NPI assigned
Mar 3, 2011
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Mr. Sergio Trevino, R.N.
Title
Administrator
Phone
(956) 716-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

400 E 2ND St
Suite a
Rio Grande City, TX 78582-3808

Mailing address

400 E 2ND St
Suite a
Rio Grande City, TX 78582-3808
Phone (956) 716-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000055 TX Part A Provider - Home Health Agency 8729247838 Practice locations: Rio Grande City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689972457. Details of each certification follow.

Home health agency certification: CCN 747837

Legal name
PRESTIGE HOME HEALTH SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 4, 2013
Last certification
Nov 29, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
400 E. 2ND Street
Suite a
Rio Grande City, TX 78582-5676

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prestige Home Care Services LLCCCN 747837 · All quality measures
Ownership
Proprietary
Certified
Feb 4, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2032934Prestige Home Health Services, LLC400 E 2ND Street Ste a, Rio Grande City, TX 78582Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

400 E 2nd St
#A
Rio Grande City, TX 78582
Phone (956) 716-8505

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Presitge Home Car Services Organization, Rio Grande City, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 26, 1998 100%
Sergio Trevino Individual Corporate Director Mar 2, 2011 100%
Yolanda Garza Individual W-2 Managing EmployeeSupervising Nurse Sep 8, 2011 25%
Sergio Trevino Organization, Rio Grande City, TX Medical provider/supplier, For-profit 5% Or Greater Direct Ownership Interest Jun 17, 2007 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1689972457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST",
            "address_2": "SUITE A",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823808",
            "telephone_number": "956-716-8505",
            "fax_number": "956-716-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST",
            "address_2": "SUITE A",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823808",
            "telephone_number": "956-716-8505",
            "fax_number": "956-716-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-716-8505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.