Provider Demographics
NPI:1306367529
Name:RGV VITAL CONNECTIONS LLC
Entity Type:Organization
Organization Name:RGV VITAL CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-433-2254
Mailing Address - Street 1:6316 N 10TH ST STE C2
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3890
Mailing Address - Country:US
Mailing Address - Phone:956-433-2254
Mailing Address - Fax:956-668-1015
Practice Address - Street 1:6316 N 10TH ST STE C2
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3890
Practice Address - Country:US
Practice Address - Phone:956-433-2254
Practice Address - Fax:956-668-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health