NPI Code Detail JSON Logo

1316535677 NPI number — LAS BRISAS HOMECARE, LLC

NPI Number: 1316535677
Health Care Provider/Practitioner: LAS BRISAS HOMECARE, LLC

Information about “1316535677” NPI (LAS BRISAS HOMECARE, LLC) exists in 1316535677 in HTML format HTML  |  1316535677 in plain Text format TXT  |  1316535677 in PDF (Portable Document Format) PDF  |  1316535677 in an XML format XML  formats.

NPI Number : 1316535677 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316535677",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LAS BRISAS HOMECARE, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 721004",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCALLEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-904-5117",
    "MailingAddressFaxNumber": "956-338-5657",
    "FirstLinePracticeLocationAddress": "904 DONNA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALMVIEW",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78572-7941",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-424-6317",
    "PracticeLocationAddressFaxNumber": "956-552-7447",
    "EnumerationDate": "01/04/2021",
    "LastUpdateDate": "02/13/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MORENO",
    "AuthorizedOfficialFirstName": "JOHOAN",
    "AuthorizedOfficialMiddleName": "CARLOS",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "956-424-6317",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3747P1801X",
          "TaxonomyName": "Personal Care Attendant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.