Organization · Type 2 NPI

Grandpa & Grandma Primary Home Care

Assisted Living Facility · Brownsville, TX

NPI number 1629375209 Active

Practice location

123 Old Port Isabel Rd Ste A5
Brownsville, TX 78521-3542

Fax (956) 554-7336

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Assisted Living Facility Primary	310400000X	None listed
Personal Care Attendant	3747P1801X	None listed
Respite Care	385H00000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1629375209
Entity type: Organization (Type 2)
Issued: Feb 17, 2011
Last updated: Jul 19, 2023
Status: Active

Other names

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Grandpa & Grandma Primary Home Care · doing business as
Grandpa & Grandma Primary Home Care · doing business as

Authorized official

Juan Jose De Leon
Owner
(956) 589-6813

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629375209

Grandpa & Grandma Primary Home Care's National Provider Identifier is 1629375209, issued on Feb 17, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Brownsville, TX. The record was last updated on Jul 19, 2023.