MEDICARE: MY BEST CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1164380952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY BEST CARE LLC

Provider Business Mailing Address
First Line	:	1401 E YANDELL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5627
Country	:	US
Telephone Number	:	915-351-1851
Fax Number	:	915-351-1851

Provider Business Practice Location Address
First Line	:	1401 E YANDELL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5627
Country	:	US
Telephone Number	:	915-351-1851
Fax Number	:	915-351-1851

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JUAN MIMBELA JR.
Credential	:	PTA
Telephone Number	:	915-383-4012

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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