MEDICARE: WINGS HOME HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	3747P1801X	Personal Care Attendant
4	251E00000X	Home Health Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	45D1101631	OTHER	TX	CENTERS FOR MEDICARE & MEDICAID SERVICES-CLIA
3	74-7568	OTHER	TX	CENTERS FOR MEDICARE & MEDICAID SERVICES-PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	012714	OTHER	TX	TEXAS DEPARTMENT OF AGING & DISABILITY SERVICES-LICENSE

General Provider Information

NPI Number	:	1336382928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINGS HOME HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	4313 N 10TH ST STE G1
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-3066
Country	:	US
Telephone Number	:	956-992-0895
Fax Number	:	956-992-8910

Provider Business Practice Location Address
First Line	:	4313 N 10TH ST STE G1
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-3066
Country	:	US
Telephone Number	:	956-992-0895
Fax Number	:	956-992-8910

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. GLORIA CASANI VELA
Credential	:
Telephone Number	:	956-992-0895

Provider Enumeration Date	:	04/12/2009
Last Update Date	:	08/25/2019

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Directions to “WINGS HOME HEALTH SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

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