Provider Demographics
NPI:1376041756
Name:ST LUKE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ST LUKE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-694-9029
Mailing Address - Street 1:3029 MONTANA AVE STE C
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-2501
Mailing Address - Country:US
Mailing Address - Phone:915-316-1216
Mailing Address - Fax:915-317-1517
Practice Address - Street 1:3029 MONTANA AVE STE C
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-2501
Practice Address - Country:US
Practice Address - Phone:915-316-1216
Practice Address - Fax:915-317-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health