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ANGELITOS PRIMARY HOME CARE INC. NPI 1043411242


NPI Information

NPI: 1043411242
Provider Name: ANGELITOS PRIMARY HOME CARE, INC.

Doing Business As: ANGELITOS ADULT DAY CARE

Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

CLIA Number: 45D1028466

Address:
704 E GRIFFIN PKWY
MISSION, TX
ZIP 78572
Phone: (956) 581-6242
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ANGELITOS PRIMARY HOME CARE, INC. is a personal care attendant technician in Mission, 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 ANGELITOS PRIMARY HOME CARE, INC. NPI is 1043411242. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Angelitos Adult Day Care.

The provider's business location address is:

704 E GRIFFIN PKWY
MISSION, TX
ZIP 78572-922
Phone: (956) 581-6242

The provider's authorized official is Juan Ramon Perez .
The authorized official title is Administrator and has the following contact phone number (956) 581-6242.

The CLIA number assigned to this NPI record is 45D1028466 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 1/11/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747P1801XTechnicianPersonal Care Attendant006460TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001027280MEDICAIDTEXAS
2112800MEDICAIDTEXAS

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: 4/28/2024

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.