Healthcare Provider Details

I. General information

NPI: 1790043941
Provider Name (Legal Business Name): TOUCHED BY AN ANGEL HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 BENGO BAY
LAREDO TX
78041
US

IV. Provider business mailing address

5102 BENGO BAY
LAREDO TX
78041
US

V. Phone/Fax

Practice location:
  • Phone: 956-337-0136
  • Fax:
Mailing address:
  • Phone: 956-337-0136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberG53125
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMEN GRISELDA CEPEDA
Title or Position: RN/BSN
Credential:
Phone: 956-337-0136