Healthcare Provider Details

I. General information

NPI: 1255579520
Provider Name (Legal Business Name): FIRST AIDE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 CHACON STREET
LAREDO TX
78043-4314
US

IV. Provider business mailing address

1617 CHACON STREET
LAREDO TX
78043-4314
US

V. Phone/Fax

Practice location:
  • Phone: 956-725-2433
  • Fax: 956-722-3057
Mailing address:
  • Phone: 956-725-2433
  • Fax: 956-722-3057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number012608
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. VICTOR HUGO ALVARADO
Title or Position: OWNER
Credential: RN, BSN
Phone: 956-235-0796