San Angel Primary Home Care LLC
Technician, Personal Care Attendant in Brownsville, TX. Organization (NPI-2).
NPI number1982137790
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1982137790
- Entity type
- Organization (NPI-2)
- Legal business name
- San Angel Primary Home Care LLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2017
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 018402 | TX | Yes |
| 253Z00000X | In Home Supportive Care | – | TX | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
860 W Price RdBrownsville, TX 78520-8702
Phone 956-621-0556 · Fax 956-443-0755
Mailing address
860 W Price RdBrownsville, TX 78520-8702
Phone 956-621-0556
Authorized official
Jose Angel De La O
Owner / Administrator
9566210556
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