Organization Active NPI

Legends Primary Home Care LLC

  • Personal Care Attendant
  • Brownsville, TX
National Provider Identifier
1972104982
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
LEGENDS PRIMARY HOME CARE LLC
Practice address
3 Conquistador St
Brownsville, TX 78520-9053
Phone
(956) 561-4155
Fax
(956) 561-4045
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Argelio VelasquezNPI 1457976698
Title
Administrator
Phone
(956) 561-4155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

3 Conquistador St
Brownsville, TX 78520-9053

Mailing address

3 Conquistador St
Brownsville, TX 78520-9053
Phone (956) 561-4155

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brownsville

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1972104982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CONQUISTADOR ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209053",
            "telephone_number": "956-561-4155",
            "fax_number": "956-561-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CONQUISTADOR ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209053",
            "telephone_number": "956-561-4155",
            "fax_number": "956-561-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDS PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "ARGELIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-561-4155"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brownsville",
            "affiliation": "N",
            "address_1": "3 Conquistador St",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785209053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.