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NPI Code Detail

MEDICARE: ANGELES DIVINOS HOME HEALTH CARE, INC.

MEDICARE: ANGELES DIVINOS HOME HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1700250800
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELES DIVINOS HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 1291 N STUART PLACE RD
Second Line :
City : HARLINGEN
State : TX
Zip : 78552-4290
Country : US
Telephone Number : 956-423-5900
Fax Number : 956-440-1287
Provider Business Practice Location Address
First Line : 1291 N STUART PLACE RD STE B
Second Line :
City : HARLINGEN
State : TX
Zip : 78552-4290
Country : US
Telephone Number : 956-423-5900
Fax Number : 956-440-1287
Authorized Official
Title or Position : DIRECTOR
Name : MR. OSCAR C BURKHOLDER
Credential :
Telephone Number : 956-343-5151
Provider Enumeration Date : 11/30/2015
Last Update Date : 05/18/2026

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Directions to “ANGELES DIVINOS HOME HEALTH CARE, INC. ” Practice Location

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