Healthcare Provider Details

I. General information

NPI: 1417105354
Provider Name (Legal Business Name): RGV ATTENDANT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 09/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4326 TWIN CIR
EDINBURG TX
78542-7114
US

IV. Provider business mailing address

12935 N TROSPER RD
MISSION TX
78573-0944
US

V. Phone/Fax

Practice location:
  • Phone: 956-240-6605
  • Fax: 956-581-4053
Mailing address:
  • Phone: 956-240-6605
  • Fax: 956-581-4053

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: MR. ROBERTO J. RODRIGUEZ
Title or Position: CHEIF FINANCIAL OFFICER
Credential: LVN
Phone: 956-240-6605