Provider Demographics
NPI:1083003024
Name:THERAPRO HOME HEALTH, LLC
Entity Type:Organization
Organization Name:THERAPRO HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:MEJIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-848-5219
Mailing Address - Street 1:5707 GREY ROCK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-6528
Mailing Address - Country:US
Mailing Address - Phone:210-455-9989
Mailing Address - Fax:210-455-9987
Practice Address - Street 1:5707 GREY ROCK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-6528
Practice Address - Country:US
Practice Address - Phone:210-455-9989
Practice Address - Fax:210-455-9987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health