Healthcare Provider Details

I. General information

NPI: 1649285347
Provider Name (Legal Business Name): BASEL MISSION HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 N 16TH ST STE 110
MCALLEN TX
78501-7983
US

IV. Provider business mailing address

214 N 16TH ST STE 110
MCALLEN TX
78501-7983
US

V. Phone/Fax

Practice location:
  • Phone: 956-331-8156
  • Fax: 956-331-8619
Mailing address:
  • Phone: 956-331-8156
  • Fax: 956-331-8619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number015586
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. ELUTERIO TEO RODRIGUEZ
Title or Position: CFO
Credential:
Phone: 956-789-9977