1144393083 NPI number — 29 HHA INC

Table of content: (NPI 1144393083)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144393083 NPI number — 29 HHA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
29 HHA INC
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:
A BEAUTIFUL DAY HEALTH CARE
Provider Other Organization Name Type Code:
3
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:
1144393083
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3102 E BUSINESS 83 STE I
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESLACO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78596-8343
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-447-2046
Provider Business Mailing Address Fax Number:
956-968-0785

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3102 E BUSINESS 83 STE I
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESLACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78596-8343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-447-2046
Provider Business Practice Location Address Fax Number:
956-968-0785
Provider Enumeration Date:
11/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SEPULVEDA
Authorized Official First Name:
JAVIER
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR DON
Authorized Official Telephone Number:
956-447-2046

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 011505HOMEHEALTH , 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)

  • Identifier: 186068601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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