Provider Demographics
NPI:1083999288
Name:HARMONY PEDIATRIC TO GERIATRIC HOME HEALTH & HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:HARMONY PEDIATRIC TO GERIATRIC HOME HEALTH & HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:956-744-8873
Mailing Address - Street 1:6540 GRANDE BAY
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1964
Mailing Address - Country:US
Mailing Address - Phone:956-377-2929
Mailing Address - Fax:956-377-2762
Practice Address - Street 1:6540 GRANDE BAY
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-1964
Practice Address - Country:US
Practice Address - Phone:956-377-2929
Practice Address - Fax:956-377-2762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health