Healthcare Provider Details

I. General information

NPI: 1831101880
Provider Name (Legal Business Name): ANGELS OF MERCY HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 E PALMA VISTA DR STE A
PALMVIEW TX
78572-2048
US

IV. Provider business mailing address

910 E PALMA VISTA DR STE A
PALMVIEW TX
78572-2048
US

V. Phone/Fax

Practice location:
  • Phone: 956-583-9995
  • Fax: 956-583-1305
Mailing address:
  • Phone: 956-583-9995
  • Fax: 956-583-1305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009584
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: EVA C AGUAYO
Title or Position: ALTERNATE ADMINISTRATOR
Credential: LVN
Phone: 956-583-9995