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4 GENESIS PRIMARY HOME CARE LLC NPI 1508211970


NPI Information

NPI: 1508211970
Provider Name: 4 GENESIS PRIMARY HOME CARE, LLC
Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
9700 N. 23RD ST
9700 N. 23RD ST
MCALLEN, TX
ZIP 78504
Phone: (956) 348-4229
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4 GENESIS PRIMARY HOME CARE, LLC is a personal care attendant technician in Mcallen, TX. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards 4 GENESIS PRIMARY HOME CARE, LLC NPI is 1508211970. The provider is registered as an organization entity type.

The provider's business location address is:

9700 N. 23RD ST
9700 N. 23RD ST
MCALLEN, TX
ZIP 78504-817
Phone: (956) 348-4229
Fax: (956) 378-9975

The provider's authorized official is Manuel Miranda .
The authorized official title is Administrator-owner and has the following contact phone number (956) 348-4229.

The enumeration date for this NPI number is 5/4/2016 and was last updated on 6/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2385H00000XRespite CareNo
33747P1801XTechnicianPersonal Care AttendantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13803058-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.