Provider Demographics
NPI:1235317074
Name:ANGELS OF MERCY HOME HEALTH, LLC
Entity Type:Organization
Organization Name:ANGELS OF MERCY HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HUERTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-9995
Mailing Address - Street 1:3201 W EXPY 83 UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-2229
Mailing Address - Country:US
Mailing Address - Phone:956-583-9995
Mailing Address - Fax:
Practice Address - Street 1:3201 W EXPY 83 UNIT 2
Practice Address - Street 2:
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-2229
Practice Address - Country:US
Practice Address - Phone:956-583-9995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009584251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health