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General NPI Number Information
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NPI Number | 1104546506
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Entity Type | Organization
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Legal Business Name | CARE-MED HOME HEALTH LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 6517 7 1/2 MILE RD.
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City | MISSION
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State | TX
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Zip | 78573-7221
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Country | US
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Telephone | 956-591-0268
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Fax |
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Provider Business Mailing Address
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Address Line | 6517 7 1/2 MILE RD.
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City | MISSION
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State | TX
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Zip | 78573-7221
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Country | US
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Telephone | 956-591-0268
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BERTHA GONZALEZ
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Credential | LVN
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Telephone | 956-336-7381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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