Provider Demographics
NPI:1376888529
Name:MONTEBELLO HOME CARE INC.
Entity Type:Organization
Organization Name:MONTEBELLO HOME CARE INC.
Other - Org Name:AT HOME SENIOR CARE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MONTEBELLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:409-276-7576
Mailing Address - Street 1:350 PINE STREET
Mailing Address - Street 2:SUITE 765
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701
Mailing Address - Country:US
Mailing Address - Phone:409-276-7576
Mailing Address - Fax:409-276-4900
Practice Address - Street 1:350 PINE STREET
Practice Address - Street 2:SUITE 765
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701
Practice Address - Country:US
Practice Address - Phone:409-276-7576
Practice Address - Fax:409-276-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
TX015543253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care