Lone Star Provider Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

017875 Issued in TX

Legal business name

LONE STAR PROVIDER CARE LLC

Practice address

5309 Wurzbach Rd Ste 200-1
Leon Valley, TX 78238-2444

Phone

(210) 852-1664

Fax

(210) 465-9000

NPI assigned

Nov 8, 2016

Last updated

Mar 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Monzon

Title

Administrator

Phone

(210) 616-2230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1871035865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD. STE 200-1",
            "city": "LEON VALLEY",
            "state": "TX",
            "postal_code": "78238",
            "telephone_number": "210-616-2230",
            "fax_number": "210-568-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD STE 200-1",
            "city": "LEON VALLEY",
            "state": "TX",
            "postal_code": "782382444",
            "telephone_number": "210-852-1664",
            "fax_number": "210-465-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PROVIDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-616-2230",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "017875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Leon Valley, TX
• Providers in Leon Valley, 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 Mar 14, 2017; 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.