Provider Demographics
NPI:1043305352
Name:VOLVER A CASA HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:VOLVER A CASA HOME HEALTH SERVICES, INC.
Other - Org Name:PHYSICIAN PREFERRED HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DIRACTOR OF PROFESSIO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-929-1204
Mailing Address - Street 1:1801 S 5TH ST
Mailing Address - Street 2:SUITE 117 C & D
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-2927
Mailing Address - Country:US
Mailing Address - Phone:956-353-6007
Mailing Address - Fax:956-353-6011
Practice Address - Street 1:1801 S 5TH ST
Practice Address - Street 2:SUITE C & D
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-2930
Practice Address - Country:US
Practice Address - Phone:956-353-6007
Practice Address - Fax:956-353-6011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011071226300000X, 372500000X, 372600000X, 3747A0650X, 3747P1801X, 374U00000X, 376J00000X, 376K00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2087223-01Medicaid
TX679795Medicare PIN