Healthcare Provider Details
I. General information
NPI: 1689636623
Provider Name (Legal Business Name): HJC HOME HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2006
Last Update Date: 02/10/2023
Certification Date: 02/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 N FM 3167 STE 103
RIO GRANDE CITY TX
78582-6776
US
IV. Provider business mailing address
725 E ESPERANZA AVE SUITE A
MCALLEN TX
78501-1402
US
V. Phone/Fax
- Phone: 956-716-6050
- Fax: 956-487-3354
- Phone: 956-627-2610
- Fax: 956-627-2613
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 0040502 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
FRANK
A.
MORA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 956-627-2610