Provider Demographics
NPI:1619411642
Name:M & J PRIMARY HOME CARE LLC
Entity Type:Organization
Organization Name:M & J PRIMARY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARBOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-771-5673
Mailing Address - Street 1:6108 MCPHERSON RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6177
Mailing Address - Country:US
Mailing Address - Phone:956-771-5673
Mailing Address - Fax:
Practice Address - Street 1:6508 N BARTLETT AVE STE E
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6446
Practice Address - Country:US
Practice Address - Phone:956-771-5673
Practice Address - Fax:956-568-1519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care