Organization Active NPI

La Fuente, Inc

Doing business as La Fuente Primary Home Care

  • In Home Supportive Care Agency
  • Sullivan City, TX
National Provider Identifier
1871704718
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LA FUENTE, INC
Doing business as
La Fuente Primary Home Care
Practice address
801 W Highway 83
Sullivan City, TX 78595
Phone
(956) 485-2400
Fax
(956) 485-1193
NPI assigned
May 24, 2007
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Veronica Aleman
Title
Administrator
Phone
(956) 485-2400

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
Primary Care Clinic/Center 261QP2300X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

801 W Highway 83
Sullivan City, TX 78595

Mailing address

PO Box 280
Sullivan City, TX 78595-0280
Phone (956) 485-2400

Other identifiers 1

IdentifierTypeStateIssuer
001004180MedicaidTX

Other names 1

  • La Fuente Primary Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Fuente Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1871704718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "SULLIVAN CITY",
            "state": "TX",
            "postal_code": "785950280",
            "telephone_number": "956-485-2400",
            "fax_number": "956-485-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W HIGHWAY 83",
            "city": "SULLIVAN CITY",
            "state": "TX",
            "postal_code": "78595",
            "telephone_number": "956-485-2400",
            "fax_number": "956-485-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FUENTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-485-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Fuente Primary Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sullivan City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.