Provider Demographics
NPI:1073779534
Name:NEIGHBORHOOD NURSING HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:NEIGHBORHOOD NURSING HEALTH SERVICES, INC.
Other - Org Name:ASSIST HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VENESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA RIVAHERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-816-1247
Mailing Address - Street 1:5262 S STAPLES ST STE 205
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4143
Mailing Address - Country:US
Mailing Address - Phone:361-816-1247
Mailing Address - Fax:
Practice Address - Street 1:5262 S STAPLES ST STE 205
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4143
Practice Address - Country:US
Practice Address - Phone:361-462-4569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2023-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747600Medicare UPIN