Provider Demographics
NPI:1528026614
Name:SAN JOSE HOME HEALTH
Entity Type:Organization
Organization Name:SAN JOSE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:GABRIELA
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:956-206-0108
Mailing Address - Street 1:102 LAKE GENEVA DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1918
Mailing Address - Country:US
Mailing Address - Phone:956-725-0345
Mailing Address - Fax:
Practice Address - Street 1:102 LAKE GENEVA DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-1918
Practice Address - Country:US
Practice Address - Phone:956-725-0345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty