Provider Demographics
NPI:1073560694
Name:SILOE HOME HEALTH & INFUSION, LLC
Entity Type:Organization
Organization Name:SILOE HOME HEALTH & INFUSION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRIDGEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-238-4999
Mailing Address - Street 1:PO BOX 2553
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78381-2553
Mailing Address - Country:US
Mailing Address - Phone:361-238-4999
Mailing Address - Fax:888-239-5887
Practice Address - Street 1:1521 W MARKET ST STE D
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-6221
Practice Address - Country:US
Practice Address - Phone:361-238-4999
Practice Address - Fax:888-239-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679686Medicare Oscar/Certification