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NPI Code Detail

MEDICARE: VIDA REAL HOME HEALTH LLC

MEDICARE: VIDA REAL HOME HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1003769001
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIDA REAL HOME HEALTH LLC
Provider Business Mailing Address
First Line : 419 S MAIN ST
Second Line :
City : DEL RIO
State : TX
Zip : 78840-5568
Country : US
Telephone Number : 830-320-8008
Fax Number : 833-772-1223
Provider Business Practice Location Address
First Line : 421 S MAIN ST
Second Line :
City : DEL RIO
State : TX
Zip : 78840-5568
Country : US
Telephone Number : 830-320-8008
Fax Number : 833-772-1223
Authorized Official
Title or Position : OWNER
Name : CHRISTIAN MARTINEZ
Credential :
Telephone Number : 830-320-8008
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “VIDA REAL HOME HEALTH LLC ” Practice Location

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