Provider Demographics
NPI:1164516332
Name:VICKI ROY HOME HEALTH SERVICE, LP
Entity Type:Organization
Organization Name:VICKI ROY HOME HEALTH SERVICE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:VICKI
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-412-9400
Mailing Address - Street 1:606 W LELA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-4876
Mailing Address - Country:US
Mailing Address - Phone:956-412-9400
Mailing Address - Fax:956-412-9407
Practice Address - Street 1:606 W LELA ST
Practice Address - Street 2:SUITE B
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-4876
Practice Address - Country:US
Practice Address - Phone:956-412-9400
Practice Address - Fax:956-412-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008271251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1003737Medicaid