Provider Demographics
NPI:1962139949
Name:BELMAR PRIMARY HOME CARE LLC
Entity type:Organization
Organization Name:BELMAR PRIMARY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LVN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-956-2631
Mailing Address - Street 1:PO BOX 1023
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-1023
Mailing Address - Country:US
Mailing Address - Phone:956-263-1521
Mailing Address - Fax:956-263-1596
Practice Address - Street 1:600 N FLORES ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-3534
Practice Address - Country:US
Practice Address - Phone:956-263-1521
Practice Address - Fax:956-263-1596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty