MEDICARE: VOLVER A CASA HOME HEALTH SERVICES, INC.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	011071	TX
2	226300000X	Kinesiotherapist	011071	TX
3	251E00000X	Home Health Agency
4	372500000X	Chore Provider	011071	TX
5	372600000X	Adult Companion	011071	TX
6	3747A0650X	Attendant Care Provider	011071	TX
7	374U00000X	Home Health Aide	011071	TX
8	376J00000X	Homemaker	011071	TX
9	3747P1801X	Personal Care Attendant	011071	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1043305352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLVER A CASA HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	1801 S 5TH ST
Second Line	:	SUITE 117 C & D
City	:	MCALLEN
State	:	TX
Zip	:	78503-2927
Country	:	US
Telephone Number	:	956-353-6007
Fax Number	:	956-353-6011

Provider Business Practice Location Address
First Line	:	1801 S 5TH ST
Second Line	:	SUITE C & D
City	:	MCALLEN
State	:	TX
Zip	:	78503-2930
Country	:	US
Telephone Number	:	956-353-6007
Fax Number	:	956-353-6011

Authorized Official
Title or Position	:	ADMINISTRATOR/DIRACTOR OF PROFESSIO
Name	:	JOSE L FLORES
Credential	:	R.N.
Telephone Number	:	956-929-1204

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	11/27/2018

1801 S 5TH ST STE 117A
MCALLEN, TX
78503-2930

Practice Phone: 956-631-6914
Practice Fax: 956-631-6946