Provider Demographics
NPI:1316535677
Name:LAS BRISAS HOMECARE, LLC
Entity Type:Organization
Organization Name:LAS BRISAS HOMECARE, LLC
Other - Org Name:LAS BRISAS HOMECARE, LLC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHOAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-424-6317
Mailing Address - Street 1:PO BOX 721004
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-904-5117
Mailing Address - Fax:956-338-5657
Practice Address - Street 1:904 DONNA RD
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-7941
Practice Address - Country:US
Practice Address - Phone:956-424-6317
Practice Address - Fax:956-552-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty