Provider Demographics
NPI:1588027429
Name:J&M GUARDIANS PRIMARY HOME CARE LLC
Entity Type:Organization
Organization Name:J&M GUARDIANS PRIMARY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:PECERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-281-4686
Mailing Address - Street 1:2680 W ALTON GLOOR BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-4015
Mailing Address - Country:US
Mailing Address - Phone:956-281-4686
Mailing Address - Fax:956-545-0462
Practice Address - Street 1:2680 W ALTON GLOOR BLVD STE 1
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-4015
Practice Address - Country:US
Practice Address - Phone:956-281-4686
Practice Address - Fax:956-545-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty