Provider Demographics
NPI:1811570013
Name:MAX PRIMARY HOME CARE LLC.
Entity Type:Organization
Organization Name:MAX PRIMARY HOME CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-900-1020
Mailing Address - Street 1:2601 FRAN BOYLLAN ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-8284
Mailing Address - Country:US
Mailing Address - Phone:956-900-1020
Mailing Address - Fax:956-253-4389
Practice Address - Street 1:2601 FRAN BOYLLAN ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-8284
Practice Address - Country:US
Practice Address - Phone:956-900-1020
Practice Address - Fax:956-253-4389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000000OtherNPI