Provider Demographics
NPI:1508473091
Name:CIELITO LINDO PRIMARY HOME CARE LLC
Entity Type:Organization
Organization Name:CIELITO LINDO PRIMARY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-458-4949
Mailing Address - Street 1:8012 W EXPRESSWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2095
Mailing Address - Country:US
Mailing Address - Phone:956-458-4949
Mailing Address - Fax:
Practice Address - Street 1:8012 W EXPRESSWAY 83 STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2095
Practice Address - Country:US
Practice Address - Phone:956-458-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty