EVELYN VALLEJO (NPI# 1801306170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801306170 |
| Entity Type | Individual |
| Full Name | EVELYN VALLEJO |
| Practice Address |
200 W Interstate 2 Ste D San Juan TX 78589-3632 |
| Mailing Address |
5 Easter Dr Pharr TX 78577-2559 |
| Practice Telephone | 9563325409 |
| Practice Fax Number | 9565163580 |
| Mailing Telephone | 9565304392 |
| Mailing Fax Number | 9565163580 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 017898 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 367034101 | 05 |
| Street Address |
200 W INTERSTATE 2 STE D |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
| 1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
| 1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
| 1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
| 1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
| 1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
| 1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
| 1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
| 1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
| 1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
| Find all providers in zip 78589 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612953 | Agape Love Primary Home Care, LLC | Home Health | 315 N Nebraska Ave, San Juan, TX 78589-3039 | 2020-06-04 |
| 1992335822 | We Take Care Nursing Services Corp | Home Health | 1452 Calle Humacao, San Juan, PR 00909-2632 | 2020-01-20 |
| 1235610908 | Best Option Healthcare Puerto Rico | Home Health | 355 De Diego Ave Fl 1, San Juan, PR 00909-1711 | 2018-08-22 |
| 1902319486 | Shc At Home | Home Health | 9 Avenida Chardon Suite 106, San Juan, PR 00918 | 2017-11-07 |
| 1073032629 | True Aid Home Care LLC | Home Health | Calle Las Villas #29 Urb Mansiones De San Martin, San Juan, PR 00924 | 2017-09-14 |
| 1588194062 | Maxmath Tutoring Online Puerto Rico Inc | Home Health | 220 Calle Manuel Domenech, San Juan, PR 00918-3533 | 2017-06-15 |
| 1972917946 | Metro Pavia At Home LLC | Home Health | 60 Calle Bolivia Piso 3, Hato Rey Centro, San Juan, PR 00918 | 2014-06-17 |
| 1952746257 | Healthy Wounds Corp | Home Health | Del Parque St 607 A Second Floor, San Juan, PR 00907 | 2013-05-01 |
| 1194065946 | San Juan Life Skills Rehab @ Home, LLC | Home Health | 1110 S Stewart Rd Ste C, San Juan, TX 78589-5167 | 2013-02-14 |
| 1083974612 | Genesis Home Health Inc | Home Health | Hato Rey Plz, 200 Ave Jesus T Pinedo Apt 21j, San Juan, PR 00918-4109 | 2012-05-16 |
| Find all providers in SAN JUAN | ||||
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| 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.