Provider Demographics
NPI:1578615050
Name:REGIONAL NURSING SERVICES MGMT., INC.
Entity Type:Organization
Organization Name:REGIONAL NURSING SERVICES MGMT., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-627-2845
Mailing Address - Street 1:1609 DAVENPORT ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6543
Mailing Address - Country:US
Mailing Address - Phone:956-627-2845
Mailing Address - Fax:
Practice Address - Street 1:4514 S MCCOLL RD STE 1
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7104
Practice Address - Country:US
Practice Address - Phone:956-627-2845
Practice Address - Fax:956-627-2846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284324501Medicaid
TX284324501Medicaid