Healthcare Provider Details
I. General information
NPI: 1497027601
Provider Name (Legal Business Name): RGMP HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2012
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5602 E IOWA RD STE B2
EDINBURG TX
78542-2758
US
IV. Provider business mailing address
1212 N 14TH ST STE 3
KINGSVILLE TX
78363-4020
US
V. Phone/Fax
- Phone: 956-270-4773
- Fax: 956-270-4773
- Phone: 361-592-5222
- Fax: 361-592-5639
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
MIGUEL
A
FARIAS
Title or Position: MANAGING MEMBER
Credential:
Phone: 361-592-5222