MEDICARE: SANTA CRUZ HEALTH SERVICES, 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	251J00000X	Nursing Care Agency	011456	TX
2	253Z00000X	In Home Supportive Care Agency
3	310400000X	Assisted Living Facility	011456	TX
4	251E00000X	Home Health Agency	011456	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	:	1790847531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA CRUZ HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	2102 W TEEGE AVE
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-4667
Country	:	US
Telephone Number	:	956-412-3337
Fax Number	:	956-412-3338

Provider Business Practice Location Address
First Line	:	2102 W. TEEGE AVE
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8592
Country	:	US
Telephone Number	:	956-412-3337
Fax Number	:	956-412-3338

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ANTONIO S. ALVIAR JR.
Credential	:	RN
Telephone Number	:	956-412-3337

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	02/25/2021

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