Healthcare Provider Details

I. General information

NPI: 1841617636
Provider Name (Legal Business Name): ARBOLEDA HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 11/11/2021
Certification Date: 11/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 W VETERANS BLVD STE B
PALMVIEW TX
78572-7092
US

IV. Provider business mailing address

2315 E 21ST ST
MISSION TX
78572-3245
US

V. Phone/Fax

Practice location:
  • Phone: 956-517-0034
  • Fax:
Mailing address:
  • Phone:
  • 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
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JAVIER MONTELONGO
Title or Position: OWNER
Credential:
Phone: 956-517-0034