Evangelic Primary Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVANGELIC PRIMARY HOME CARE, LLC

Practice address

1601 W Trenton Rd Ste L-105
Edinburg, TX 78539-1503

Phone

(956) 878-5643

NPI assigned

May 25, 2021

Last updated

May 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Etna Elizabeth Vela

Title

Administrator

Phone

(056) 867-0757

Specialties & licenses 1

Addresses

Other names 1

• Evangelic Primary Home Care, LLC Former legal business name

Locations

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1992370597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W TRENTON RD STE L-105",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391503",
            "telephone_number": "956-878-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W TRENTON RD STE L-105",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391503",
            "telephone_number": "956-878-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELIC PRIMARY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "ETNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "056-867-0757"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evangelic Primary Home Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.