Active NPI
Presidente Home Care, Inc.
- Home Health Agency
- McAllen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009247
- Legal business name
- PRESIDENTE HOME CARE, INC.
- Practice address
- 405 North Main Street
Suite 1
McAllen, TX 78501-4634 - Phone
- (956) 687-6760
- Fax
- (956) 687-6763
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Romeo Valladares, R.N.
- Title
- Administrator/President/Owner
- Phone
- (956) 687-6760
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009247 | TX | Primary |
| In Home Supportive Care Agency | 253Z00000X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
405 North Main Street
Suite 1
McAllen, TX 78501-4634
Mailing address
405 North Main Street Suite 1
McAllen, TX 78501-4634
Phone (956) 687-6760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009247 | Other | TX | HCSSA STATE LICENSE |
| 2194474 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040823001230 | TX | Part A Provider - Home Health Agency | 1658345970 | Practice locations: McAllen, TX |
Home health agency certification: CCN 673101
- Legal name
- PRESIDENTE HOME CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 28, 2004
- Last certification
- Jun 14, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 5, 2003 in TX
- Enrollment address
- 405 N Main St
Ste 1
McAllen, TX 78501
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Presidente Home Care Inc.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 28, 2004
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1034626 | Presidente Home Care Inc | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
1111 N 10th St
Ste F
McAllen, TX 78501
Phone (956) 631-5195
405 N Main St
Ste 1
McAllen, TX 78501
Phone (956) 687-6760
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lydia Valladares | Corporate Officer | May 28, 2012 | |
| Corporate Director | May 28, 2010 | ||
| W-2 Managing Employee | May 28, 2010 | ||
| Romeo Valladares | 5% Or Greater Direct Ownership Interest | Jul 1, 2014 | 100% |
| Corporate Officer | May 28, 2010 | 100% | |
| Corporate Director | Aug 1, 2004 | 100% | |
| W-2 Managing Employee | Dec 5, 2003 | 100% | |
| Operational/Managerial Control | May 28, 2010 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- McAllen, TX
- NPI 1013579648
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1730269671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 NORTH MAIN STREET SUITE 1",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014634",
"telephone_number": "956-687-6760",
"fax_number": "956-687-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 NORTH MAIN STREET",
"address_2": "SUITE 1",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014634",
"telephone_number": "956-687-6760",
"fax_number": "956-687-6763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESIDENTE HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "VALLADARES",
"authorized_official_first_name": "ROMEO",
"authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT/OWNER",
"authorized_official_telephone_number": "956-687-6760",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009247",
"primary": true
},
{
"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": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCSSA STATE LICENSE",
"identifier": "009247",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2194474",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.