Provider Demographics
NPI:1619253291
Name:GONZALEZ-SALINAS, LLC
Entity Type:Organization
Organization Name:GONZALEZ-SALINAS, LLC
Other - Org Name:DE LOS ANGELES HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:FELIPE
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-502-5151
Mailing Address - Street 1:1315 W POLK AVE STE 16
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-2139
Mailing Address - Country:US
Mailing Address - Phone:956-502-5151
Mailing Address - Fax:956-502-5151
Practice Address - Street 1:1315 W POLK AVE STE 16
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-2139
Practice Address - Country:US
Practice Address - Phone:956-502-5151
Practice Address - Fax:956-502-5151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherIRS EMPLOYER IDENTIFICATION NUMBER