Provider Demographics
NPI:1255220133
Name:SONRISA DE ANGEL PRIMARY HOME CARE LLC
Entity type:Organization
Organization Name:SONRISA DE ANGEL PRIMARY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-461-0042
Mailing Address - Street 1:1006 COYOTE ST
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-7352
Mailing Address - Country:US
Mailing Address - Phone:956-461-0042
Mailing Address - Fax:956-461-0045
Practice Address - Street 1:1006 COYOTE ST
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-7352
Practice Address - Country:US
Practice Address - Phone:956-461-0042
Practice Address - Fax:956-461-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty