Organization Active NPI

SPC Alex Primary Home Care, LLC

  • Home Health Agency
  • Mission, TX
National Provider Identifier
1891098190
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPC ALEX PRIMARY HOME CARE, LLC
Practice address
312 W 9TH St
Mission, TX 78572-3906
Phone
(956) 451-2610
Fax
(956) 519-3840
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Mrs. Idalia Gonzalez
Title
Owner
Phone
(956) 451-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

312 W 9TH St
Mission, TX 78572-3906

Mailing address

312 W 9TH St
Mission, TX 78572-3906
Phone (956) 451-2610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1891098190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 9TH ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723906",
            "telephone_number": "956-451-2610",
            "fax_number": "956-519-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 9TH ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723906",
            "telephone_number": "956-451-2610",
            "fax_number": "956-519-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPC ALEX PRIMARY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IDALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-451-2610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.