PRINCESS VELAZQUEZ


Address: 160 Palm Dr, Lancaster, TX 75146-1942
Phone: 2143956005

PRINCESS VELAZQUEZ (NPI# 1275041444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275041444
Entity Type Individual
Full Name PRINCESS VELAZQUEZ
Practice Address 160 Palm Dr
Lancaster
TX 75146-1942
Practice Telephone 2143956005
Practice Fax Number 8173934934
Mailing Telephone 2143956005
Mailing Fax Number 8173934934
Enumeration Date 2018-01-22
Last Update Date 2018-01-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251X00000X Supports Brokerage TX Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TX 28856836 05

Office Location

Street Address 160 PALM DR
City LANCASTER
State TX
Zip Code 75146-1942

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801392188 Otha Watson Home Health 3003 Driftwood Ln, Lancaster, TX 75146 2018-04-04
1295278208 Habibat Addulkarim Audu Licensed Vocational Nurse 1211 Westridge Avenue, 202, Lancaster, TX 75146 2016-11-22
1154772457 Dion Leathers Physician Assistant 439 Francis St, Lancaster, TX 75146 2016-06-28
1205287828 Elisha Chapman Specialist/Technologist, Other 415 S Dallas Ave, Lancaster, TX 75146 2016-06-24
1205224862 Bestin Abraham Pharmacist 350 N. Bluegrove Rd, Lancaster, TX 75146 2015-01-06
1134525751 Shekina Barber Counselor 2810 Saint Croix Ave, Lancaster, TX 75146 2014-11-10
1306276910 Elisia Beck Chore Provider 585 Rolling Hills Pl., #321, Lancaster, TX 75146 2013-11-18
1639443146 Angela D Nowell Nurse Practitioner 2700 West Pleasant Run Road, Suite 300, Lancaster, TX 75146 2012-03-01
1003196510 Callie House Residential Treatment Facility, Physical Disabilities 913 Francis St., Lancaster, TX 75146 2011-08-29
1851602882 Leo Davis Dentist 1370 W Beltline Rd, Ste 100, Lancaster, TX 75146 2010-06-24
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Taxonomy Information

Taxonomy Code 251X00000X
Grouping Agencies
Classification Supports Brokerage

Taxonomy Definition

A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new]

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1841815339 Icare Youth Services Supports Brokerage 111 S Young Blvd, Desoto, TX 75115-5517 2020-06-10
1881214054 Wmac Group LLC Supports Brokerage 285 Cr Ne 2050, Mount Vernon, TX 75457 2020-04-17
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1508324856 Charity Comfort Care Services. LLC Supports Brokerage 2944 E Illinois Ave, Dallas, TX 75216-3424 2019-03-06
1831660521 Agile Guardcare Supports Brokerage 916 Crowder Dr, Crowley, TX 76036-3657 2018-12-06
1154810406 Beach House Arts Supports Brokerage 114 N Ellison Dr Ste 403, San Antonio, TX 78251-5022 2018-05-02
1063867414 Get Insured 75 Supports Brokerage 4595 W Spring Creek Pkwy Apt 3814, Plano, TX 75024-5249 2016-05-03
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Competitor

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City LANCASTER
Zip Code 75146

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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