MEDICARE: VIRTUE 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	010359	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1750333407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRTUE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1230
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78551-1230
Country	:	US
Telephone Number	:	956-423-1197
Fax Number	:	956-440-1837

Provider Business Practice Location Address
First Line	:	4444 CORONA DR
Second Line	:	STE. 212
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-4324
Country	:	US
Telephone Number	:	361-853-2000
Fax Number	:	361-853-2017

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RODNEY MESQUIAS
Credential	:	RN
Telephone Number	:	956-423-1197

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	12/11/2014

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