Provider Demographics
NPI:1417245697
Name:ST MARTIN HOME HEALTH LLC
Entity Type:Organization
Organization Name:ST MARTIN HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-648-8628
Mailing Address - Street 1:4700 N 7TH ST
Mailing Address - Street 2:4700 N 7TH ST
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2934
Mailing Address - Country:US
Mailing Address - Phone:956-648-8628
Mailing Address - Fax:
Practice Address - Street 1:4700 N 7TH ST
Practice Address - Street 2:4700 N 7TH ST
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2934
Practice Address - Country:US
Practice Address - Phone:956-648-8628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health