Organization Active NPI

Presidente Home Care, Inc.

  • Home Health Agency
  • McAllen, TX
National Provider Identifier
1730269671
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009247 Issued in TX
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

Updated by the provider on Dec 12, 2023

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009247 TX Primary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
009247OtherTXHCSSA STATE LICENSE
2194474MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Dec 5, 2003 in TX
Enrollment address
405 N Main St
Ste 1
McAllen, TX 78501
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Presidente Home Care Inc.CCN 673101 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 28, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
45D1034626Presidente Home Care Inc405 N Main Street Suite 1, McAllen, TX 78501Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lydia Valladares Individual Corporate OfficerSecretary/Treasurer May 28, 2012
Corporate Director May 28, 2010
W-2 Managing Employee May 28, 2010
Romeo Valladares Individual 5% Or Greater Direct Ownership Interest Jul 1, 2014 100%
Corporate OfficerPresident May 28, 2010 100%
Corporate DirectorPresident, Board Member Aug 1, 2004 100%
W-2 Managing EmployeeAdministrator/Director of Nursing Dec 5, 2003 100%
Operational/Managerial ControlPresident/Administrator May 28, 2010 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "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

Verify at the official NPI Registry.