Provider Demographics
NPI:1447383427
Name:A HEALTHY LIVING HOME HEALTH INC.
Entity Type:Organization
Organization Name:A HEALTHY LIVING HOME HEALTH INC.
Other - Org Name:A HEALTHY LIVING HOME HEALTH INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNERS
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-461-6747
Mailing Address - Street 1:1003 HOOKS AVE
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-3271
Mailing Address - Country:US
Mailing Address - Phone:956-461-6747
Mailing Address - Fax:956-461-6747
Practice Address - Street 1:1003 BUSINESS AVE
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-3271
Practice Address - Country:US
Practice Address - Phone:956-461-6747
Practice Address - Fax:956-461-6747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679581Medicare Oscar/Certification