Provider Demographics
NPI:1376623405
Name:E & O HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:E & O HOME HEALTH CARE, INC.
Other - Org Name:URESTI SENIOR ASSISTANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:URESTI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:361-592-5262
Mailing Address - Street 1:830 W KING AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-4943
Mailing Address - Country:US
Mailing Address - Phone:361-592-5262
Mailing Address - Fax:361-592-0566
Practice Address - Street 1:830 W KING AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-4943
Practice Address - Country:US
Practice Address - Phone:361-592-5262
Practice Address - Fax:361-592-0566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002358251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024678701Medicaid
TX000018600Medicaid
TX001000804Medicaid
TX002358OtherSTATE LICENSE NUMBER
TX002358OtherSTATE LICENSE NUMBER
TX001000804Medicaid