Organization Active NPI

Una Bendicion Home Health, LLC

  • Home Health Agency
  • Rio Grande City, TX
National Provider Identifier
1851638753
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNA BENDICION HOME HEALTH, LLC
Practice address
1736 Riverside St
Rio Grande City, TX 78582-5726
Phone
(956) 263-1924
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Mayra Reyes
Title
Managing Member
Phone
(956) 263-1924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1736 Riverside St
Rio Grande City, TX 78582-5726

Mailing address

1736 Riverside St
Rio Grande City, TX 78582-5726
Phone (956) 263-1924

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024001051 TX Part A Provider - Home Health Agency 1658506886 Practice locations: Rio Grande City, TX

Home health agency certification: CCN 747942

Legal name
UNA BENDICION HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2014
Last certification
Nov 11, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1736 Riverside Street
Rio Grande City, TX 78582-5726

Care Compare: Home health agency

Medicare Care Compare
Listed as
Una Bendicion Home Health LLCCCN 747942 · All quality measures
Ownership
Proprietary
Certified
Dec 22, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
45D2060801Una Bendicion Home Health LLC1736 Riverside Street, Rio Grande City, TX 78582Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mayra Reyes Individual 5% Or Greater Direct Ownership Interest Sep 29, 2012 100%
Corporate OfficerCeo Sep 20, 2012
Corporate DirectorPresident Sep 20, 2012
W-2 Managing EmployeeAdministrator Sep 20, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1851638753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 RIVERSIDE ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785825726",
            "telephone_number": "956-263-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 RIVERSIDE ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785825726",
            "telephone_number": "956-263-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNA BENDICION HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "956-263-1924"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.