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NPI 1639766066

NPI 1639766066 : LA VISTA HOME HEALTH, LLC. : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1639766066
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    Entity Type          |    Organization 
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    Legal Business Name  |    LA VISTA HOME HEALTH, LLC. 
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Dates
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    Enumeration Date     |    12/31/2020
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    Last Update Date     |    02/27/2025
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Provider Practice Location Address
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    Address Line         |    929 E ESPERANZA AVE UNIT 2 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-1468
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    Country              |    US
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    Telephone            |    956-558-1397
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    Fax                  |    956-338-5567
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Provider Business Mailing Address
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    Address Line         |    PO BOX 721004 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78504-1004
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    Country              |    US
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    Telephone            |    956-222-0441
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ANTONIO  AGUILAR 
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    Credential           |    
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    Telephone            |    956-558-1397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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