Provider Demographics
NPI:1346486784
Name:JUANITA'S ANGELS HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:JUANITA'S ANGELS HOME HEALTHCARE, LLC
Other - Org Name:ANGELS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:VILLANUEVA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-283-7300
Mailing Address - Street 1:8004 S. CAGE BLVD
Mailing Address - Street 2:STE C
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577
Mailing Address - Country:US
Mailing Address - Phone:956-283-7300
Mailing Address - Fax:956-283-7309
Practice Address - Street 1:8004 S. CAGE BLVD
Practice Address - Street 2:STE C
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577
Practice Address - Country:US
Practice Address - Phone:956-283-7300
Practice Address - Fax:956-283-7309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009331251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health