MEDICARE: AMISTAD HOME HEALTH INC

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
1	251E00000X	Home Health Agency	008697	TX

General Provider Information

NPI Number	:	1033148267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMISTAD HOME HEALTH INC

Provider Business Mailing Address
First Line	:	PO BOX 1728
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78044-1728
Country	:	US
Telephone Number	:	956-729-0949
Fax Number	:	956-729-7963

Provider Business Practice Location Address
First Line	:	6999 MCPHERSON RD STE 324
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6451
Country	:	US
Telephone Number	:	956-729-0949
Fax Number	:	956-729-7963

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CARLOS GARZA
Credential	:
Telephone Number	:	956-729-0949

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	03/03/2026

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