Provider Demographics
NPI:1114140555
Name:REGAL CARE AT HOME LLC
Entity Type:Organization
Organization Name:REGAL CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-386-1717
Mailing Address - Street 1:4622 SOUTH BUSINESS HWY 281
Mailing Address - Street 2:SUITE C
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-386-1717
Mailing Address - Fax:986-386-1728
Practice Address - Street 1:4622 SOUTH BUSINESS HWY 281
Practice Address - Street 2:SUITE C
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-386-1717
Practice Address - Fax:986-386-1728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health