Provider Demographics
NPI:1114502689
Name:LAREDO HOME CARE PROVIDER SERVICES LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:LAREDO HOME CARE PROVIDER SERVICES LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-740-1552
Mailing Address - Street 1:5813 SAINT SYLVIA LOOP
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-8090
Mailing Address - Country:US
Mailing Address - Phone:956-740-1552
Mailing Address - Fax:956-568-5105
Practice Address - Street 1:5813 SAINT SYLVIA LOOP
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-8090
Practice Address - Country:US
Practice Address - Phone:956-740-1552
Practice Address - Fax:956-568-5105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care