Provider Demographics
NPI:1407898224
Name:ALEGRIA HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:ALEGRIA HOME HEALTH AGENCY INC
Other - Org Name:RELIABLE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-428-5465
Mailing Address - Street 1:1625 GABRIELS LNDG
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-2809
Mailing Address - Country:US
Mailing Address - Phone:956-428-5465
Mailing Address - Fax:956-428-5464
Practice Address - Street 1:1625 GABRIELS LNDG
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-2809
Practice Address - Country:US
Practice Address - Phone:956-428-5465
Practice Address - Fax:956-428-5464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011972251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176800401Medicaid
TX011972OtherSTATE LICENSE NUMBER
TX176800401Medicaid