=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306922034
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ST. ANTHONY'S HOME HEALTHCARE SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/27/2006
-----------------------------------------------------
Last Update Date | 03/07/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 612 W NOLANA AVE STE 410
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78504-3089
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-994-8766
-----------------------------------------------------
Fax | 956-994-8762
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 612 W NOLANA AVE STE 410
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78504-3089
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-994-8766
-----------------------------------------------------
Fax | 956-994-8762
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ADMINISTRATOR
-----------------------------------------------------
Name | DR. GILBERTO E GARCIA JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 956-994-8766
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------