Provider Demographics
NPI:1437542859
Name:MERIDA HOME HEALTH OF EAGLE PASS LLC
Entity Type:Organization
Organization Name:MERIDA HOME HEALTH OF EAGLE PASS LLC
Other - Org Name:MERIDA HEALTH CARE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MESQUIAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-423-1197
Mailing Address - Street 1:PO BOX 1230
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78551-1230
Mailing Address - Country:US
Mailing Address - Phone:956-423-1197
Mailing Address - Fax:956-440-1837
Practice Address - Street 1:1095 DEL RIO BLVD STE 5C
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-3453
Practice Address - Country:US
Practice Address - Phone:844-687-2565
Practice Address - Fax:800-918-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health