Healthcare Provider Details

I. General information

NPI: 1770591976
Provider Name (Legal Business Name): PRESTIGE HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5107 S. EMBASSY STREET SUITE A
RIO GRANDE CITY TX
78582
US

IV. Provider business mailing address

5107 S. EMBASSY STREET SUITE A
RIO GRANDE CITY TX
78582
US

V. Phone/Fax

Practice location:
  • Phone: 956-487-7551
  • Fax: 956-488-1479
Mailing address:
  • Phone: 956-487-7551
  • Fax: 956-488-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number007972
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. SERGIO TREVINO
Title or Position: ADMINISTRATOR/OWNER
Credential: RN
Phone: 956-487-7551