Organization Active NPI

DC Health Services Dba Guardian Healthcare

  • Home Health Agency
  • San Juan, TX
National Provider Identifier
1861707028
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DC HEALTH SERVICES DBA GUARDIAN HEALTHCARE
Practice address
1209 E FM 495 Ste 7&8
San Juan, TX 78589-4863
Phone
(956) 783-0502
Fax
(956) 783-0569
NPI assigned
Aug 12, 2010
Last updated
Feb 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Ms. Lerissa Deleon
Title
Alternate Administrator
Phone
(956) 783-0502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1209 E FM 495 Ste 7&8
San Juan, TX 78589-4863

Mailing address

1209 E FM 495 Ste 7&8
San Juan, TX 78589-4863
Phone (956) 783-0502

Other identifiers 1

IdentifierTypeStateIssuer
010067MedicaidTX

National Provider Directory

National Provider Directory

Locations

1209 E FM 495
Ste 78
San Juan, TX 78589
Phone (956) 783-0502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1861707028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E FM 495 STE 7&8",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894863",
            "telephone_number": "956-783-0502",
            "fax_number": "956-783-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E FM 495 STE 7&8",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894863",
            "telephone_number": "956-783-0502",
            "fax_number": "956-783-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC HEALTH SERVICES DBA GUARDIAN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "LERISSA",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "956-783-0502",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010067",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.