Provider Demographics
NPI:1679509533
Name:ODP MANAGEMENT LLC
Entity Type:Organization
Organization Name:ODP MANAGEMENT LLC
Other - Org Name:D'ORO HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR / MANAGER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BLANCA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-AP
Authorized Official - Phone:956-973-9700
Mailing Address - Street 1:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-0267
Mailing Address - Country:US
Mailing Address - Phone:956-973-9700
Mailing Address - Fax:956-973-9788
Practice Address - Street 1:609 W 6TH ST STE 2
Practice Address - Street 2:D'ORO HOME HEALTH SERVICES
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5803
Practice Address - Country:US
Practice Address - Phone:956-973-9700
Practice Address - Fax:956-973-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009435251E00000X
251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009435OtherTXDADS
TX172428801Medicaid
TX45D1032632OtherMEDICARE PART B