Healthcare Provider Details

I. General information

NPI: 1538958723
Provider Name (Legal Business Name): RGV HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 E ALTON GLOOR BLVD STE D
BROWNSVILLE TX
78526-3906
US

IV. Provider business mailing address

1213 E ALTON GLOOR BLVD STE D
BROWNSVILLE TX
78526-3906
US

V. Phone/Fax

Practice location:
  • Phone: 956-620-0058
  • Fax:
Mailing address:
  • Phone: 956-620-0058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ADRIANA ZAMORA
Title or Position: ALTERNATE ADMINISTRATOR
Credential:
Phone: 956-620-0058