Provider Demographics
NPI:1518484351
Name:ST. TERESA OF CALCUTTA HOME HEALTH, LLC
Entity Type:Organization
Organization Name:ST. TERESA OF CALCUTTA HOME HEALTH, LLC
Other - Org Name:ST TERESA OF CALCUTTA HOME HEALTH, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SINTIA
Authorized Official - Middle Name:KARINA
Authorized Official - Last Name:URBINA PUERTO
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:512-924-0862
Mailing Address - Street 1:12609 DESSAU RD LOT 313
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-1822
Mailing Address - Country:US
Mailing Address - Phone:512-924-0862
Mailing Address - Fax:
Practice Address - Street 1:12609 DESSAU RD. LOT 313
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754
Practice Address - Country:US
Practice Address - Phone:512-924-0862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty