MEDICARE: ANGELITOS 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
1	251E00000X	Home Health Agency	009182	TX

General Provider Information

NPI Number	:	1922001528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELITOS HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	315 E. 2 MILE LINE
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574
Country	:	US
Telephone Number	:	956-584-2410
Fax Number	:	956-584-8752

Provider Business Practice Location Address
First Line	:	315 EAST 2 MILE LINE
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574
Country	:	US
Telephone Number	:	956-584-2410
Fax Number	:	956-584-8752

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. FRANCES GUERRA
Credential	:	L.V.N.
Telephone Number	:	956-584-2410

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/22/2020

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