Organization Active NPI

Holistic Personal Assistance Services

  • In Home Supportive Care Agency
  • San Juan, TX
National Provider Identifier
1710235932
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
013666 Issued in TX
Legal business name
HOLISTIC PERSONAL ASSISTANCE SERVICES
Practice address
107 E Ciro Dr
San Juan, TX 78589-3707
Phone
(956) 223-9831
Fax
(956) 475-3084
NPI assigned
Aug 20, 2012
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Ms. Elizabeth Herrera, RN
Title
Administrator/Owner
Phone
(956) 223-9831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 013666 TX Primary

Addresses

Primary practice location

107 E Ciro Dr
San Juan, TX 78589-3707

Mailing address

107 E Ciro Dr
San Juan, TX 78589-3707
Phone (956) 223-9831

Other identifiers 1

IdentifierTypeStateIssuer
013666MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Holistic Personal Assistance Service LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1710235932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E CIRO DR",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893707",
            "telephone_number": "956-223-9831",
            "fax_number": "956-475-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CIRO DR",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893707",
            "telephone_number": "956-223-9831",
            "fax_number": "956-475-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PERSONAL ASSISTANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "956-223-9831",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "013666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013666",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.