Nuestro Sagrado Corazon Primary Home Care, Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

NUESTRO SAGRADO CORAZON PRIMARY HOME CARE, INC.

Practice address

4811 S Jackson Rd
Edinburg, TX 78539-9793

Phone

(956) 627-3434

Fax

(956) 627-3699

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ana Maria Hernandez

Title

Administrator/Signing Authority

Phone

(956) 968-9828

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1912101023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399793",
            "telephone_number": "956-627-3434",
            "fax_number": "956-627-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399793",
            "telephone_number": "956-627-3434",
            "fax_number": "956-627-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUESTRO SAGRADO CORAZON PRIMARY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/SIGNING AUTHORITY",
        "authorized_official_telephone_number": "956-968-9828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010559",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "188469401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188469401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.