Provider Demographics
NPI:1508140666
Name:ATHC PROVIDER SERVICES INC.
Entity Type:Organization
Organization Name:ATHC PROVIDER SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-425-2220
Mailing Address - Street 1:302 E TYLER AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-9120
Mailing Address - Country:US
Mailing Address - Phone:956-425-2220
Mailing Address - Fax:956-425-2218
Practice Address - Street 1:302 E TYLER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-9120
Practice Address - Country:US
Practice Address - Phone:956-425-2220
Practice Address - Fax:956-425-2218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty