=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558551556
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONTINUUM HOME HEALTH CARE,INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2007
-----------------------------------------------------
Last Update Date | 07/18/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1329 DIXIELAND RD
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78552-3311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-428-3329
-----------------------------------------------------
Fax | 956-428-3369
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16980 RIO RED
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78552-2615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-428-3329
-----------------------------------------------------
Fax | 956-428-3369
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. MARIA DOLORES SALAZAR II
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 956-428-3329
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 011514
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------