Provider Demographics
NPI:1174817076
Name:LAREDO VISITING NURSES, INC.
Entity Type:Organization
Organization Name:LAREDO VISITING NURSES, INC.
Other - Org Name:DEL CIELO HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIZONDO
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:361-814-4500
Mailing Address - Street 1:422 S ENTERPRIZE PKWY
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-3913
Mailing Address - Country:US
Mailing Address - Phone:361-814-4500
Mailing Address - Fax:
Practice Address - Street 1:411 N KING ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4763
Practice Address - Country:US
Practice Address - Phone:361-664-3484
Practice Address - Fax:361-723-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0010700251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001019165Medicaid
TX001019165Medicaid