MEDICARE: SOUTH TEXAS NURSING CARE, 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	002649	TX
2	3747P1801X	Personal Care Attendant

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	:	1770638108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH TEXAS NURSING CARE, INC.

Provider Business Mailing Address
First Line	:	509 WEST HARRISON
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550
Country	:	US
Telephone Number	:	956-423-7477
Fax Number	:	956-423-7407

Provider Business Practice Location Address
First Line	:	509 WEST HARRISON
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550
Country	:	US
Telephone Number	:	956-423-7477
Fax Number	:	956-428-7813

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOSEPH SAUCEDA
Credential	:
Telephone Number	:	956-423-7477

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	02/05/2021

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