Provider Demographics
NPI:1275814626
Name:ST MARIE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ST MARIE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ODILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-424-7256
Mailing Address - Street 1:305 E EXPRESSWAY 83
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-5560
Mailing Address - Country:US
Mailing Address - Phone:956-424-7256
Mailing Address - Fax:
Practice Address - Street 1:305 E EXPRESSWAY 83
Practice Address - Street 2:SUITE 201
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-5560
Practice Address - Country:US
Practice Address - Phone:956-424-7256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011572251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health