Provider Demographics
NPI:1356823678
Name:CONTIGO INTEGRATED HOME CARE
Entity Type:Organization
Organization Name:CONTIGO INTEGRATED HOME CARE
Other - Org Name:CONTIGO HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:CARRATALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-819-4077
Mailing Address - Street 1:2186 JACKSON KELLER RD STE 1013
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2723
Mailing Address - Country:US
Mailing Address - Phone:210-819-4077
Mailing Address - Fax:
Practice Address - Street 1:2186 JACKSON KELLER RD STE 1013
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2723
Practice Address - Country:US
Practice Address - Phone:210-819-4077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Yes385H00000XRespite Care FacilityRespite Care