# BLUEBONNET PRIMARY HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275356446
- **Authorized official:** VANESSA TREVINO (ADMINISTRATOR)
- **Authorized official phone:** (956) 589-5026

## Contact information

- **Practice address:** 5226 POMANDER RD, HOUSTON, TX 77021-3148
- **Practice address phone:** (956) 589-5026
- **Mailing address:** 1575 MILITARY HWY 281 STE 106, BROWNSVILLE, TX 78520-3408
- **Mailing address phone:** (956) 517-6260
- **Mailing address fax:** (956) 372-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 11/05/2024