Healthcare Provider Details

I. General information

NPI: 1639766066
Provider Name (Legal Business Name): LA VISTA HOME HEALTH, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 E ESPERANZA AVE UNIT 2
MCALLEN TX
78501-1468
US

IV. Provider business mailing address

PO BOX 721004
MCALLEN TX
78504-1004
US

V. Phone/Fax

Practice location:
  • Phone: 956-558-1397
  • Fax: 956-338-5567
Mailing address:
  • Phone: 956-222-0441
  • Fax:

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO AGUILAR
Title or Position: CEO
Credential:
Phone: 956-558-1397