Provider Demographics
NPI:1245765387
Name:COLMEX HOME CARE, LLC
Entity Type:Organization
Organization Name:COLMEX HOME CARE, LLC
Other - Org Name:FIRSTLIGHT HOME CARE OF SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER - ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-306-8499
Mailing Address - Street 1:47 THREE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1022
Mailing Address - Country:US
Mailing Address - Phone:210-306-8499
Mailing Address - Fax:
Practice Address - Street 1:47 THREE LAKES DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-1022
Practice Address - Country:US
Practice Address - Phone:210-306-8499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care