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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001004180 | Medicaid | TX |
Other names 1
- La Fuente Primary Home Care
National Provider Directory
National Provider Directory- Tax ID family
- La Fuente Adult Day Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba La Fuente Adult Day Care
- Adult Day Care Clinic/Center
- Sullivan City, TX
- NPI 1295946127
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
- Heart of Gold Primary Care SVCS
- J&B DME LLC
- La Fuente DME, Inc.
- La Fuente Home Health Services, Inc.
- La Fuente Inc. (La Fuente Adult Day Care)
- Gesler Louis Madhere, PHYSICIAN ASSISTANT
- Malory May Mercado
- Mi Generacion Adult Day Care Inc.
- My Safe Haven Corporation (Amor Mio Provider Services)
- Melissa Pena
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.