=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770370967
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INOVATION HOME HEALTH CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2025
-----------------------------------------------------
Last Update Date | 08/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1713 LANGER DR
-----------------------------------------------------
City | EDINBURG
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78542-2053
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-558-3533
-----------------------------------------------------
Fax | 956-558-3533
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1401 W POLK AVE STE B
-----------------------------------------------------
City | PHARR
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78577-2445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-558-3533
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | YAZMIN BLANCO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 956-558-3533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------