Healthcare Provider Details

I. General information

NPI: 1730386996
Provider Name (Legal Business Name): FARIAS HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MARINA CT STE 2
LAREDO TX
78046-4065
US

IV. Provider business mailing address

501 MARINA CT STE 2
LAREDO TX
78046-4065
US

V. Phone/Fax

Practice location:
  • Phone: 956-701-3509
  • Fax: 956-701-3511
Mailing address:
  • Phone: 956-701-3509
  • Fax: 956-701-3511

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LUIS ORTIZ
Title or Position: OWNER
Credential:
Phone: 956-326-9807