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NPI Code Detail

MEDICARE: AVID PRIMARY HOME CARE LLC

MEDICARE: AVID PRIMARY HOME 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
13747P1801XPersonal Care Attendant
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1619789153
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVID PRIMARY HOME CARE LLC
Provider Business Mailing Address
First Line : 4307 N 22ND ST STE B
Second Line :
City : MCALLEN
State : TX
Zip : 78504-4167
Country : US
Telephone Number : 956-807-1002
Fax Number : 956-807-1004
Provider Business Practice Location Address
First Line : 4307 N 22ND ST STE B
Second Line :
City : MCALLEN
State : TX
Zip : 78504-4167
Country : US
Telephone Number : 956-807-1002
Fax Number : 956-807-1004
Authorized Official
Title or Position : ADMINISTRATOR
Name : LUIS GARCIA
Credential :
Telephone Number : 956-807-1002
Provider Enumeration Date : 01/22/2025
Last Update Date : 06/19/2026

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Directions to “AVID PRIMARY HOME CARE LLC ” Practice Location

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