Provider Demographics
NPI:1578691598
Name:ON CALL HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ON CALL HOME HEALTH SERVICES INC
Other - Org Name:HOUSE CALLS HOMEBASED HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-682-2273
Mailing Address - Street 1:PO BOX 720009
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0009
Mailing Address - Country:US
Mailing Address - Phone:956-682-2273
Mailing Address - Fax:956-682-8732
Practice Address - Street 1:1703 W OWASSA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7047
Practice Address - Country:US
Practice Address - Phone:956-682-2273
Practice Address - Fax:956-682-8732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012745251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012472901Medicaid
TX023935201Medicaid
TX012472901Medicaid