1063605426 NPI number — AMOR Y PAZ HOME HEALTH SERVICE LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063605426 NPI number — AMOR Y PAZ HOME HEALTH SERVICE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMOR Y PAZ HOME HEALTH SERVICE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063605426
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4311 N TH 10TH ST
Provider Second Line Business Mailing Address:
SUITE G3
Provider Business Mailing Address City Name:
MCALLEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78504-3350
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-631-0455
Provider Business Mailing Address Fax Number:
956-380-4313

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4311 N TH 10TH ST
Provider Second Line Business Practice Location Address:
SUITE G3
Provider Business Practice Location Address City Name:
MCALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78504-3350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-631-0455
Provider Business Practice Location Address Fax Number:
956-380-4313
Provider Enumeration Date:
08/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CUELLAR
Authorized Official First Name:
DIANA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/ADMINISTRATOR
Authorized Official Telephone Number:
956-380-0309

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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