Provider Demographics
NPI:1770235590
Name:GRIMALDO'S PRIMARY HOME CARE LLC
Entity Type:Organization
Organization Name:GRIMALDO'S PRIMARY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-207-5357
Mailing Address - Street 1:503 W BUSINESS 83
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-9494
Mailing Address - Country:US
Mailing Address - Phone:956-207-5357
Mailing Address - Fax:
Practice Address - Street 1:503 W BUSINESS 83 STE B
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-9494
Practice Address - Country:US
Practice Address - Phone:956-461-1304
Practice Address - Fax:956-461-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-23
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty