Healthcare Provider Details

I. General information

NPI: 1477310506
Provider Name (Legal Business Name): CUERO HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 05/06/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 N ESPLANADE ST
CUERO TX
77954-3605
US

IV. Provider business mailing address

PO BOX 1005
CUERO TX
77954-1005
US

V. Phone/Fax

Practice location:
  • Phone: 613-210-6060
  • Fax: 361-210-6061
Mailing address:
  • Phone: 361-275-0532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LEANN HOCHDORF
Title or Position: HUMAN RESOURCES/ADMINISTRATIVE AST.
Credential:
Phone: 361-275-0532