Healthcare Provider Details

I. General information

NPI: 1467064113
Provider Name (Legal Business Name): CRUZ HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2020
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 E GRIFFIN PKWY
MISSION TX
78572-2420
US

IV. Provider business mailing address

1302 E GRIFFIN PKWY
MISSION TX
78572-2420
US

V. Phone/Fax

Practice location:
  • Phone: 956-600-8770
  • Fax: 956-600-7934
Mailing address:
  • Phone: 956-600-8770
  • Fax: 956-600-8701

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: DENISE CRUZ
Title or Position: CEO
Credential:
Phone: 956-600-8770