Healthcare Provider Details

I. General information

NPI: 1487671129
Provider Name (Legal Business Name): OUR SACRED HEART HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4823 S JACKSON RD STE F
EDINBURG TX
78539-9730
US

IV. Provider business mailing address

4823 S JACKSON RD STE F
EDINBURG TX
78539-9730
US

V. Phone/Fax

Practice location:
  • Phone: 956-348-2052
  • Fax: 956-348-2123
Mailing address:
  • Phone: 956-348-2052
  • Fax: 956-348-2123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number012641
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANA MARIA HERNANDEZ
Title or Position: ALTERNATE ADMINISTRATOR
Credential:
Phone: 956-348-2052