Provider Demographics
NPI:1689713653
Name:TAYLOR HOME HEALTH, INC.
Entity Type:Organization
Organization Name:TAYLOR HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-618-1626
Mailing Address - Street 1:1609 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2213
Mailing Address - Country:US
Mailing Address - Phone:956-618-1626
Mailing Address - Fax:956-618-0934
Practice Address - Street 1:1609 N 6TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2213
Practice Address - Country:US
Practice Address - Phone:956-618-1626
Practice Address - Fax:956-618-0934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX679067251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170708501Medicaid
TX679067Medicare ID - Type Unspecified