Provider Demographics
NPI:1033373592
Name:PPL COMPADRES, INC.
Entity Type:Organization
Organization Name:PPL COMPADRES, INC.
Other - Org Name:HEALTHPLUS HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTELLA
Authorized Official - Middle Name:LIVAS
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-802-7270
Mailing Address - Street 1:200 W EXPY 83
Mailing Address - Street 2:SUITE N
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3641
Mailing Address - Country:US
Mailing Address - Phone:956-781-3105
Mailing Address - Fax:956-781-3108
Practice Address - Street 1:200 W EXPRESSWAY 83
Practice Address - Street 2:SUITE N
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3641
Practice Address - Country:US
Practice Address - Phone:956-781-3105
Practice Address - Fax:956-781-3108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health