Provider Demographics
NPI:1679691844
Name:LIFE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:LIFE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-287-7080
Mailing Address - Street 1:1609 DAVENPORT ST STE B
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6543
Mailing Address - Country:US
Mailing Address - Phone:956-287-7080
Mailing Address - Fax:956-287-7084
Practice Address - Street 1:1609 DAVENPORT ST STE B
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6543
Practice Address - Country:US
Practice Address - Phone:956-287-7080
Practice Address - Fax:956-287-7084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX7471363747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747136Medicare Oscar/Certification