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NPI Code Detail

MEDICARE: WINGS HOME HEALTH SERVICES, LLC

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 License Number License Number State
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency
33747P1801XPersonal Care Attendant
4251E00000XHome Health Agency

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
245D1101631OTHERTXCENTERS FOR MEDICARE & MEDICAID SERVICES-CLIA
374-7568OTHERTXCENTERS FOR MEDICARE & MEDICAID SERVICES-PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1012714OTHERTXTEXAS 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

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