Healthcare Provider Details

I. General information

NPI: 1174074298
Provider Name (Legal Business Name): HEALTH COM MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 S STAPLES ST SUITE #203
CORPUS CHRISTI TX
78404
US

IV. Provider business mailing address

1001 N CONWAY AVE
MISSION TX
78572-4110
US

V. Phone/Fax

Practice location:
  • Phone: 361-887-9000
  • Fax: 361-887-9010
Mailing address:
  • Phone: 956-519-1000
  • Fax: 956-584-1413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number017029
License Number StateTX

VIII. Authorized Official

Name: MRS. MARLA DALINDA MUNOZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-519-1000