Provider Demographics
NPI:1417297862
Name:DIVINAS MANOS HOME HEALTH LLC
Entity Type:Organization
Organization Name:DIVINAS MANOS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-728-8322
Mailing Address - Street 1:7109 N BARTLETT AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6475
Mailing Address - Country:US
Mailing Address - Phone:956-728-8322
Mailing Address - Fax:956-728-8353
Practice Address - Street 1:7109 N BARTLETT AVE STE 204
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6475
Practice Address - Country:US
Practice Address - Phone:956-728-8322
Practice Address - Fax:956-728-8353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health