MEDICARE: ALBORADA HOME 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	3747P1801X	Personal Care Attendant	011056	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	011056	OTHER	TX	TEXAS DEPARTMENT OF AGING

General Provider Information

NPI Number	:	1861677940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBORADA HOME CARE, INC.

Provider Business Mailing Address
First Line	:	3307 N MCCOLL RD
Second Line	:	SUITE F
City	:	MCALLEN
State	:	TX
Zip	:	78501-5536
Country	:	US
Telephone Number	:	956-213-8044
Fax Number	:	956-213-8045

Provider Business Practice Location Address
First Line	:	3307 N MCCOLL RD
Second Line	:	SUITE F
City	:	MCALLEN
State	:	TX
Zip	:	78501-5536
Country	:	US
Telephone Number	:	956-213-8044
Fax Number	:	956-213-8045

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARIA GUADALUPE IB ARRA
Credential	:
Telephone Number	:	956-213-8044

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	01/08/2008

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Directions to “ALBORADA HOME CARE, INC. ” Practice Location

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