Healthcare Provider Details

I. General information

NPI: 1952302739
Provider Name (Legal Business Name): ALL-VALLEY PRIMARY HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 TESORO ST
PHARR TX
78577-7580
US

IV. Provider business mailing address

PO BOX 5367
MCALLEN TX
78502-5367
US

V. Phone/Fax

Practice location:
  • Phone: 956-782-9002
  • Fax: 956-782-9888
Mailing address:
  • Phone: 956-782-9002
  • Fax: 956-782-9888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number007171
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. FELIPE GAZCA
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-782-9002