Provider Demographics
NPI:1689952913
Name:A SPECIAL HOME HEALTH, LLC
Entity Type:Organization
Organization Name:A SPECIAL HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-353-5374
Mailing Address - Street 1:P.O. BOX 1150
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-1150
Mailing Address - Country:US
Mailing Address - Phone:956-488-6828
Mailing Address - Fax:956-488-6829
Practice Address - Street 1:602 N. FLORES ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-3534
Practice Address - Country:US
Practice Address - Phone:956-488-6828
Practice Address - Fax:956-488-6829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health