GDL Primary Home Care Inc

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

GDL PRIMARY HOME CARE INC

Practice address

4321 Melissa Dr
Laredo, TX 78046-5770

Phone

(956) 267-8288

Fax

(956) 267-8290

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Miss Kassandra Yvette De Leon

Title

Director

Phone

(956) 267-8288

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• GDL PRIMARY HOME CARE INC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1972195956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 MELISSA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465770",
            "telephone_number": "956-267-8288",
            "fax_number": "956-267-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 MELISSA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465770",
            "telephone_number": "956-267-8288",
            "fax_number": "956-267-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDL PRIMARY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-267-8288",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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": "SECRETARY OF STATE FILE NUMBER",
            "identifier": "803313962",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4321 Melissa Dr",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780465770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GDL PRIMARY HOME CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Personal Care Attendant in Laredo, TX
• Providers in Laredo, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.