Healthcare Provider Details

I. General information

NPI: 1033224563
Provider Name (Legal Business Name): LAREDO TEXAS HOME CARE SERVICES COMPANY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 11/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 HENDRICKS AVE FL 2
LAREDO TX
78040-4609
US

IV. Provider business mailing address

1700 HENDRICKS AVE FL 2
LAREDO TX
78040-4609
US

V. Phone/Fax

Practice location:
  • Phone: 956-796-3266
  • Fax: 956-796-3282
Mailing address:
  • Phone: 956-796-3266
  • Fax: 956-796-3282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010256
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number010256
License Number StateTX

VIII. Authorized Official

Name: MRS. ANNA LAURA RUBIO
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 956-796-3266