Healthcare Provider Details

I. General information

NPI: 1518623180
Provider Name (Legal Business Name): RGV KIDZ HOME SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 N 10TH ST STE 302C
MCALLEN TX
78504-3347
US

IV. Provider business mailing address

4903 JUNE DR
EDINBURG TX
78539-0046
US

V. Phone/Fax

Practice location:
  • Phone: 956-510-6295
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JO ANN CARMONA ALVAREZ
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 956-358-3907