Skilled Primary Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SKILLED PRIMARY HOME CARE LLC

Practice address

2507 Iris Dr
San Juan, TX 78589-4291

Phone

(956) 867-3782

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Nickie Ybarra

Title

Owner

Phone

(956) 867-3782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1740996438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 IRIS DR",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 IRIS DR",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894291",
            "telephone_number": "956-867-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "NICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-867-3782"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in San Juan, TX
• Providers in San Juan, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.