Healthcare Provider Details

I. General information

NPI: 1790126969
Provider Name (Legal Business Name): RGV ANGELS OF CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 E EXPRESSWAY 83 STE 2
LA JOYA TX
78560-4178
US

IV. Provider business mailing address

PO BOX 487
MISSION TX
78573-0009
US

V. Phone/Fax

Practice location:
  • Phone: 956-585-2466
  • Fax:
Mailing address:
  • Phone: 956-585-2466
  • Fax: 956-585-2395

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. DIEGO QUIJANO
Title or Position: VICE PRESIDENT/ADMINISTRATOR
Credential:
Phone: 956-585-2466