Sacred Heart PHC,LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

016703 Issued in TX

Legal business name

SACRED HEART PHC,LLC

Practice address

103 W Gravis St
San Diego, TX 78384-2639

Phone

(361) 279-8280

Fax

(361) 279-4128

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Glenda Renee Gonzalez, LVN

Title

Administrator

Phone

(361) 834-3526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1811382948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W GRAVIS ST",
            "city": "SAN DIEGO",
            "state": "TX",
            "postal_code": "783842639",
            "telephone_number": "361-279-8280",
            "fax_number": "361-279-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W GRAVIS ST",
            "city": "SAN DIEGO",
            "state": "TX",
            "postal_code": "783842639",
            "telephone_number": "361-279-8280",
            "fax_number": "361-279-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART PHC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-834-3526",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "016703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Morin, CHW, CPW
• Onsite Nursing Services, Inc.
• Our Healing Heart Homecare, LLC
• Nelissa Marie Perez
• Rising Star Holdings LLC (San Diego Pharmacy)
• David Allen Salinas, EMT-I
• San Diego Independent School District
• Anabel Trevino
• Georgia Trevino
• Uvalde County Hospital Authority (Windsor Nursing and Rehabilitation Center of San Diego)

• Personal Care Attendant in San Diego, TX
• Providers in San Diego, 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 Jul 7, 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.