Healthcare Provider Details

I. General information

NPI: 1528248085
Provider Name (Legal Business Name): ALEGRIA PRIMARY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E REDBUD AVE STE E
MCALLEN TX
78504-2639
US

IV. Provider business mailing address

900 E REDBUD AVE STE E
MCALLEN TX
78504-2639
US

V. Phone/Fax

Practice location:
  • Phone: 956-627-2844
  • Fax: 956-627-2846
Mailing address:
  • Phone: 956-627-2844
  • Fax: 956-627-2846

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 Number010951
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO JAVIER NINO
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 956-627-2844