Provider Demographics
NPI:1083653059
Name:VILLA AND SERNA INC.
Entity Type:Organization
Organization Name:VILLA AND SERNA INC.
Other - Org Name:A1 HOME HEALTHCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATILANO
Authorized Official - Middle Name:
Authorized Official - Last Name:SERNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-475-2300
Mailing Address - Street 1:1112 WITTER ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506-4718
Mailing Address - Country:US
Mailing Address - Phone:713-475-2300
Mailing Address - Fax:713-475-0811
Practice Address - Street 1:1112 WITTER ST,
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-1115
Practice Address - Country:US
Practice Address - Phone:713-475-2300
Practice Address - Fax:713-475-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457988Medicare Oscar/Certification