Healthcare Provider Details

I. General information

NPI: 1669565420
Provider Name (Legal Business Name): SANTA FE HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W. RAILROAD AVE.
BENAVIDES TX
78341
US

IV. Provider business mailing address

P.O. BOX 510
BENAVIDES TX
78341-0510
US

V. Phone/Fax

Practice location:
  • Phone: 361-256-3980
  • Fax: 361-256-3981
Mailing address:
  • Phone: 361-256-3980
  • Fax: 361-256-3981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number008750
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PRISCILLA G. GARZA
Title or Position: ADMINISTRATOR
Credential:
Phone: 361-256-3980