Provider Demographics
NPI:1144393083
Name:29 HHA INC
Entity Type:Organization
Organization Name:29 HHA INC
Other - Org Name:A BEAUTIFUL DAY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR DON
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:SEPULVEDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-447-2046
Mailing Address - Street 1:3102 E BUSINESS 83 STE I
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-8343
Mailing Address - Country:US
Mailing Address - Phone:956-447-2046
Mailing Address - Fax:956-968-0785
Practice Address - Street 1:3102 E BUSINESS 83 STE I
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-8343
Practice Address - Country:US
Practice Address - Phone:956-447-2046
Practice Address - Fax:956-968-0785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251E00000X
TX011505HOMEHEALTH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186068601Medicaid
TX186068602Medicaid
TX186068603Medicaid
TX186068603Medicaid