Provider Demographics
NPI:1033531843
Name:GENEROUS HOME CARE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:GENEROUS HOME CARE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-239-5056
Mailing Address - Street 1:8600 WURZBACH RD STE 801
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4332
Mailing Address - Country:US
Mailing Address - Phone:210-239-5056
Mailing Address - Fax:210-267-9011
Practice Address - Street 1:8600 WURZBACH RD STE 801
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4332
Practice Address - Country:US
Practice Address - Phone:210-239-5056
Practice Address - Fax:210-267-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016155251E00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
747974Medicare Oscar/Certification
TX741575Medicare Oscar/Certification