Provider Demographics
NPI:1659946770
Name:PROCARE HOSPICE AND PALLIATIVE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PROCARE HOSPICE AND PALLIATIVE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO- FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YESENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-299-3474
Mailing Address - Street 1:2500 E PRICE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3399
Mailing Address - Country:US
Mailing Address - Phone:956-299-3474
Mailing Address - Fax:956-545-0365
Practice Address - Street 1:2500 E PRICE RD STE 500
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3399
Practice Address - Country:US
Practice Address - Phone:956-299-3474
Practice Address - Fax:956-545-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty