Organization
BLUEBONNET PRIMARY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA TREVINO (ADMINISTRATOR)
(956) 589-5026
Entity
Organization
Contact information
Practice address
1575 MILITARY HWY 281 STE 105, BROWNSVILLE, TX 78520-3408
(956) 517-6260
(956) 372-1128
Mailing address
1575 MILITARY HWY 281 STE 105, BROWNSVILLE, TX 78520-3408
(956) 517-6260
(956) 372-1128
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306499579
—
TX
Enumeration date
10/08/2019
Last updated
05/06/2025
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