Healthcare Provider Details

I. General information

NPI: 1720036551
Provider Name (Legal Business Name): MANOS DE ORO PHC , INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 E ESPERANZA AVE UNIT 10
MCALLEN TX
78501-1468
US

IV. Provider business mailing address

929 E ESPERANZA AVE UNIT 10
MCALLEN TX
78501-1468
US

V. Phone/Fax

Practice location:
  • Phone: 956-731-4110
  • Fax: 956-731-4111
Mailing address:
  • Phone: 956-731-4110
  • Fax: 956-731-4111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009787
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. JUDITH HERNANDEZ
Title or Position: PRESIDENT/CEO
Credential:
Phone: 956-500-4188