Provider Demographics
NPI:1528248085
Name:ALEGRIA PRIMARY HOME CARE, INC.
Entity type:Organization
Organization Name:ALEGRIA PRIMARY HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:NINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-627-2844
Mailing Address - Street 1:900 E REDBUD AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2639
Mailing Address - Country:US
Mailing Address - Phone:956-627-2844
Mailing Address - Fax:956-627-2846
Practice Address - Street 1:900 E REDBUD AVE STE E
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2639
Practice Address - Country:US
Practice Address - Phone:956-627-2844
Practice Address - Fax:956-627-2846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251J00000X, 253Z00000X, 385H00000X, 291U00000X, 3747P1801X
TX010951251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty