Provider Demographics
NPI:1497844179
Name:CONTINUCARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CONTINUCARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-734-6166
Mailing Address - Street 1:4335 W PIEDRAS DR
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1215
Mailing Address - Country:US
Mailing Address - Phone:210-734-6166
Mailing Address - Fax:210-734-3810
Practice Address - Street 1:4335 W PIEDRAS DR
Practice Address - Street 2:SUITE # 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1215
Practice Address - Country:US
Practice Address - Phone:210-734-6166
Practice Address - Fax:210-734-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002360251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0246779-01Medicaid
TX67-7515Medicare ID - Type Unspecified