Provider Demographics
NPI:1477629954
Name:SOUTH TEXAS HOME HEALTH
Entity Type:Organization
Organization Name:SOUTH TEXAS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:361-221-9809
Mailing Address - Street 1:5114 COUNTY ROAD 6
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:TX
Mailing Address - Zip Code:78343-5107
Mailing Address - Country:US
Mailing Address - Phone:361-455-6886
Mailing Address - Fax:361-221-9510
Practice Address - Street 1:224 W. KING
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363
Practice Address - Country:US
Practice Address - Phone:361-221-9809
Practice Address - Fax:361-221-9510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011188OtherTEXAS STATE LICENSE
TX3108383Medicaid