DE VINE PRIMARY HOME CARE LLC NPI 1750046777

NPI Information

  • NPI: 1750046777
  • Provider Name: DE VINE PRIMARY HOME CARE LLC
  • Classification: Technician - 3747P1801X
  • Specialization: Personal Care Attendant
  • Entity Type: Organization
  • Address: 1524 N CONWAY AVE
    MISSION, TX
    ZIP 78572
  • Phone: (956) 890-0222

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NPI Details

DE VINE PRIMARY HOME CARE LLC 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 DE VINE PRIMARY HOME CARE LLC NPI is 1750046777. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1524 N CONWAY AVE
MISSION, TX
ZIP 78572-003
Phone: (956) 890-0222
Fax: (956) 598-5999

The provider's authorized official is Andrina De Anda .
The authorized official title is Owner/administrator and has the following contact phone number (956) 890-0222.

The enumeration date for this NPI number is 11/4/2021 and was last updated on 9/4/2025.

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
1163WH0200XRegistered NurseHome HealthNo
2146D00000XPersonal Emergency Response AttendantNo
3251E00000XHome HealthNo
4253Z00000XIn Home Supportive CareNo
5163W00000XRegistered NurseNo
63747A0650XTechnicianAttendant Care ProviderNo
73747P1801XTechnicianPersonal 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
1001032089MEDICAIDTEXAS

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: 11/21/2025

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