Provider Demographics
NPI:1619429925
Name:SAINT'S CONTINUUM CARE, LLC
Entity Type:Organization
Organization Name:SAINT'S CONTINUUM CARE, LLC
Other - Org Name:AYP PROFESSIONAL LIVING ASISTANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER - MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANTOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRANZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:254-315-7454
Mailing Address - Street 1:6611 SANGER AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-4252
Mailing Address - Country:US
Mailing Address - Phone:254-235-7000
Mailing Address - Fax:
Practice Address - Street 1:6611 SANGER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4252
Practice Address - Country:US
Practice Address - Phone:254-235-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017837253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX367018401Medicaid