Provider Demographics
NPI:1659325199
Name:E.L. PANCIERA, INC. DBA ADVANCE PLUS HH
Entity Type:Organization
Organization Name:E.L. PANCIERA, INC. DBA ADVANCE PLUS HH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PANCIERA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, BAAS
Authorized Official - Phone:956-546-9444
Mailing Address - Street 1:17 BOCA CHICA BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7895
Mailing Address - Country:US
Mailing Address - Phone:956-546-9444
Mailing Address - Fax:956-546-9477
Practice Address - Street 1:17 BOCA CHICA BLVD STE C
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7895
Practice Address - Country:US
Practice Address - Phone:956-546-9444
Practice Address - Fax:956-546-9477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007610251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001004231Medicaid