Provider Demographics
NPI:1437595576
Name:MEDLIFE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:MEDLIFE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:LIZETH
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-462-5974
Mailing Address - Street 1:2401 LANE ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-2714
Mailing Address - Country:US
Mailing Address - Phone:956-462-5974
Mailing Address - Fax:956-267-5744
Practice Address - Street 1:2401 LANE ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-2714
Practice Address - Country:US
Practice Address - Phone:956-462-5974
Practice Address - Fax:956-267-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX747923251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747923Medicare UPIN