SACRED HEART PHC,LLC (NPI# 1811382948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811382948 |
| Entity Type | Organization |
| Organization Name | SACRED HEART PHC,LLC |
| Practice Address |
103 W Gravis St San Diego TX 78384-2639 |
| Practice Telephone | 3612798280 |
| Practice Fax Number | 3612794128 |
| Mailing Telephone | 3612798280 |
| Mailing Fax Number | 3612794128 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | GLENDA RENEE GONZALEZ (ADMINISTRATOR) |
| Authorized Official Telephone | 3618343526 |
| Authorized Official Credential | LVN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
016703 | TX | Nursing Service Related Providers |
| Street Address |
103 W GRAVIS ST |
| City | SAN DIEGO |
| State | TX |
| Zip Code | 78384-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992286280 | Lora Pyle | Licensed Vocational Nurse | 1173 County Rd 174, San Deigo, TX 78384 | 2018-08-24 |
| 1669778551 | Haven Skilled Services, LLC | Home Health | 4962 Fm 1329, San Diego, TX 78384 | 2011-02-10 |
| 1669630372 | Onsite Nursing Services, Inc. | Home Health | 806 E. Gravis St., San Diego, TX 78384 | 2008-05-29 |
| 1649383571 | Eduardo O. Caveda Md Pa | Clinic/Center | 102 E King Ave, San Diego, TX 78384-1838 | 2006-08-16 |
| 1164473385 | San Antonio Vamc | Clinic/Center | 102 E King Ave, Spohn San Diego Family Health Clinic Suite 200, San Diego, TX 78384-1838 | 2006-05-12 |
| 1588044788 | Our Healing Heart Homecare, LLC | Home Health | 5003 County Road 110, Unit C, San Diego, TX 78384-2432 | 2015-06-02 |
| 1346780566 | Xlnt Dental Pllc | Dentist | 504 E Gravis St, San Diego, TX 78384-2708 | 2017-03-07 |
| 1821133455 | La Hacienda Pharmacy Inc | Pharmacy | 213 S Dr E E Dunlap St, San Diego, TX 78384-2801 | 2007-02-21 |
| 1962758391 | Buzy Bee Speech Therapy, LLC | Speech-Language Pathologist | 204 S Dr Ee Dunlap St, San Diego, TX 78384-2802 | 2012-08-03 |
| 1982048120 | Talisha Long | Speech-Language Pathologist | 204 S Dr Ee Dunlap St, San Diego, TX 78384-2802 | 2013-04-18 |
| Find all providers in zip 78384 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760037147 | Mary Moreno | Technician | 225 Redwood St Apt 23, San Diego, CA 92103-5668 | 2019-08-02 |
| 1669934055 | A Friend for Life LLC | Technician | 928 Fort Stockton Dr Ste 205, San Diego, CA 92103-1893 | 2019-04-03 |
| 1457825499 | Tylah Jasmin-nicole Turner | Technician | 12275 Nivel Ct, San Diego, CA 92128-2733 | 2019-01-13 |
| 1033686282 | Caring Enterprises, Inc. | Technician | 8369 Vickers St Ste 203, San Diego, CA 92111-2113 | 2018-10-25 |
| 1033517354 | Glenda Renee Gonzalez | Technician | 500 S Dr Ee Dunlap St, San Diego, TX 78384-3212 | 2014-12-18 |
| 1861906919 | Elizabeth Ann Jones | Technician | 2970 Market St, San Diego, CA 92102-3241 | 2017-11-28 |
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|---|---|---|---|---|
| 1346841301 | D&z Primary Home Care, LLC. | Technician | 2808 E Pauline Ln, Edinburg, TX 78542-2101 | 2020-11-05 |
| 1194326355 | Emma O. Franco | Technician | 708 3rd Street, Ozona, TX 76943 | 2020-11-04 |
| 1801497052 | Kizzie Ann Coleman | Technician | 7000 W. I-30 Apt. 836, Royse City, TX 75189 | 2020-11-04 |
| 1881294494 | Ifeoma Anita Ojukwu | Technician | 10440 South Dr Apt 506, Houston, TX 77099-2809 | 2020-11-01 |
| 1932709979 | Shannon Vinson | Technician | 12118 Parade Park Place, Houston, TX 77047-3534 | 2020-10-29 |
| 1881293439 | April Kay Gonzalez | Technician | 613 Montreal Ct, Brownsville, TX 78526-5136 | 2020-10-23 |
| 1467050484 | Lrv Group | Technician | 1905 S Arden St, Harlingen, TX 78552-7461 | 2020-10-12 |
| 1902403645 | Jireh Healthcare Services LLC. | Technician | 3000 N Mccoll Rd Ste 6, Mcallen, TX 78501-1476 | 2020-10-06 |
| 1285231399 | Texas Primary Home Care LLC | Technician | 701 Hidden Trce, Weslaco, TX 78599-4054 | 2020-10-02 |
| 1508473091 | Cielito Lindo Primary Home Care LLC | Technician | 8012 W Expressway 83 Ste B, Mission, TX 78572-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.