Provider Demographics
NPI:1659426732
Name:BORDER HOME HEALTH, INC.
Entity Type:Organization
Organization Name:BORDER HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-548-2900
Mailing Address - Street 1:1725 BOCA CHICA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8140
Mailing Address - Country:US
Mailing Address - Phone:956-548-2900
Mailing Address - Fax:956-548-2901
Practice Address - Street 1:1725 BOCA CHICA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8140
Practice Address - Country:US
Practice Address - Phone:956-548-2900
Practice Address - Fax:956-548-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010581251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679370Medicare Oscar/Certification