Provider Demographics
NPI:1619594207
Name:ONE MEDICAL HOME CARE, LLC
Entity Type:Organization
Organization Name:ONE MEDICAL HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:GUADALUPE
Authorized Official - Last Name:VELA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-801-6319
Mailing Address - Street 1:30832 FM 510
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-8777
Mailing Address - Country:US
Mailing Address - Phone:956-801-6319
Mailing Address - Fax:
Practice Address - Street 1:30832 FM 510
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-8777
Practice Address - Country:US
Practice Address - Phone:956-801-6319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty