Healthcare Provider Details

I. General information

NPI: 1952279952
Provider Name (Legal Business Name): SOL D' AMORE PHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 S CAGE BLVD
PHARR TX
78577-5942
US

IV. Provider business mailing address

1234 S CAGE BLVD
PHARR TX
78577-5942
US

V. Phone/Fax

Practice location:
  • Phone: 956-438-9110
  • Fax:
Mailing address:
  • Phone: 956-438-9110
  • Fax:

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 Code251J00000X
TaxonomyNursing Care 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: MS. ROXANNE NINO
Title or Position: ALT. ADM.
Credential:
Phone: 956-438-9110