Provider Demographics
NPI:1033224563
Name:LAREDO TEXAS HOME CARE SERVICES COMPANY LP
Entity Type:Organization
Organization Name:LAREDO TEXAS HOME CARE SERVICES COMPANY LP
Other - Org Name:LAREDO HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:LAURA
Authorized Official - Last Name:RUBIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-796-3266
Mailing Address - Street 1:1700 HENDRICKS AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-4609
Mailing Address - Country:US
Mailing Address - Phone:956-796-3266
Mailing Address - Fax:956-796-3282
Practice Address - Street 1:1700 HENDRICKS AVE FL 2
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-4609
Practice Address - Country:US
Practice Address - Phone:956-796-3266
Practice Address - Fax:956-796-3282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010256251E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162858803Medicaid
TX162858801Medicaid
TX457724Medicare Oscar/Certification