Healthcare Provider Details

I. General information

NPI: 1225475676
Provider Name (Legal Business Name): MERIDA HEALTH CARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2013
Last Update Date: 05/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 S EXPRESSWAY 83
HARLINGEN TX
78550-7613
US

IV. Provider business mailing address

PO BOX 1230
HARLINGEN TX
78551-1230
US

V. Phone/Fax

Practice location:
  • Phone: 956-423-1197
  • Fax: 956-440-1837
Mailing address:
  • Phone: 956-423-1197
  • Fax: 956-440-1837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RODNEY Y MESQUIAS
Title or Position: OWNER/CEO
Credential: R.N.
Phone: 956-423-1197