=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578927018
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BENDICIONES HOME HEALTH CARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2016
-----------------------------------------------------
Last Update Date | 04/11/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1719 GUADALUPE ST PMB 030
-----------------------------------------------------
City | LAREDO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78043-3449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-790-8674
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1401 CALLE DEL NORTE STE 6 OFFICE 8
-----------------------------------------------------
City | LAREDO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78041-5943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-790-8674
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. MANUEL G. SANCHEZ JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 956-790-8674
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------