Provider Demographics
NPI:1326407834
Name:MAMI ROSA HOMECARE INC
Entity Type:Organization
Organization Name:MAMI ROSA HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-212-8489
Mailing Address - Street 1:131 W CLARK AVE # A-1
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-3842
Mailing Address - Country:US
Mailing Address - Phone:956-685-5420
Mailing Address - Fax:956-685-5310
Practice Address - Street 1:131 W CLARK AVE # A-1
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-3842
Practice Address - Country:US
Practice Address - Phone:956-685-5420
Practice Address - Fax:956-685-5310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care