=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073457214
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAINT GABRIEL HOME CARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2026
-----------------------------------------------------
Last Update Date | 04/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 408 COUNTY ROAD 440
-----------------------------------------------------
City | ALICE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78332-7781
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-389-4283
-----------------------------------------------------
Fax | 361-389-4283
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 408 COUNTY ROAD 440
-----------------------------------------------------
City | ALICE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78332-7781
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-389-4283
-----------------------------------------------------
Fax | 361-389-4283
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | GABRIEL A. RIVERA
-----------------------------------------------------
Credential | RIVERA
-----------------------------------------------------
Telephone | 361-389-4283
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------