Provider Demographics
NPI:1467504936
Name:LAREDO QUALITY HOME HEALTH, INC.
Entity Type:Organization
Organization Name:LAREDO QUALITY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-725-5533
Mailing Address - Street 1:107 CALLE DEL NORTE # 17
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-9104
Mailing Address - Country:US
Mailing Address - Phone:956-725-5333
Mailing Address - Fax:956-725-5536
Practice Address - Street 1:107 CALLE DEL NORTE # 11B
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-9104
Practice Address - Country:US
Practice Address - Phone:956-725-5333
Practice Address - Fax:956-725-5533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010911251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747028Medicare Oscar/Certification