Provider Demographics
NPI:1003924291
Name:INTERWORLD HEALTHCARE, INC
Entity Type:Organization
Organization Name:INTERWORLD HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MESQUIAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-534-7727
Mailing Address - Street 1:PO BOX 1230
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78551-1230
Mailing Address - Country:US
Mailing Address - Phone:956-423-1197
Mailing Address - Fax:956-440-1837
Practice Address - Street 1:10767 GATEWAY BLVD W
Practice Address - Street 2:605
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4919
Practice Address - Country:US
Practice Address - Phone:915-534-7727
Practice Address - Fax:915-534-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016959251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH8195OtherBLUE CROSS BLUE SHIELD
TX023962601Medicaid
TX458219Medicare Oscar/Certification