Provider Demographics
NPI:1225243736
Name:LOWER VALLEY HOME HEALTH, LLC
Entity Type:Organization
Organization Name:LOWER VALLEY HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEJIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-544-2200
Mailing Address - Street 1:1425 E. RUBEN TORRES BLVD.
Mailing Address - Street 2:SUITE C
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-1117
Mailing Address - Country:US
Mailing Address - Phone:956-544-2200
Mailing Address - Fax:956-544-2623
Practice Address - Street 1:1425 E. RUBEN TORRES BLVD.
Practice Address - Street 2:SUITE C
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1117
Practice Address - Country:US
Practice Address - Phone:956-544-2200
Practice Address - Fax:956-544-2623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX11504251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747002Medicare PIN