Healthcare Provider Details

I. General information

NPI: 1144130014
Provider Name (Legal Business Name): RUBY HEART HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 DOCTORA EVE PEREZ LN
LAREDO TX
78046-8948
US

IV. Provider business mailing address

1602 DOCTORA EVE PEREZ LN
LAREDO TX
78046-8948
US

V. Phone/Fax

Practice location:
  • Phone: 956-612-9606
  • Fax:
Mailing address:
  • Phone: 956-612-9606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ISABEL CISNEROS
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-612-9606