Amistad PHC,L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMISTAD PHC,L.L.C.

Practice address

4814 N 11TH St Ste D
McAllen, TX 78504-3625

Phone

(956) 627-3970

Fax

(956) 627-3975

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Silvia M Gomez

Title

Administrator

Phone

(956) 627-3970

Specialties & licenses 2

Addresses

Other names 1

• Amistad PHC Services Doing business as

Locations

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1780088336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 N 11TH ST STE D",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043625",
            "telephone_number": "956-627-3970",
            "fax_number": "956-627-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 N 11TH ST STE D",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043625",
            "telephone_number": "956-627-3970",
            "fax_number": "956-627-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD PHC,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-627-3970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amistad PHC Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.