Healthcare Provider Details

I. General information

NPI: 1083861637
Provider Name (Legal Business Name): GDM PRIMARY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6508 N BARTLETT AVE STE E
LAREDO TX
78041-6446
US

IV. Provider business mailing address

6508 N BARTLETT AVE STE E
LAREDO TX
78041-6446
US

V. Phone/Fax

Practice location:
  • Phone: 956-727-0311
  • Fax: 956-726-9305
Mailing address:
  • Phone: 956-727-0311
  • Fax: 956-726-9305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MARIA ELVIRA MONTEMAYOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-727-0311