Provider Demographics
NPI:1700844628
Name:RGV CALIDAD HOME HEALTH LLC DBA CALIDAD HOME HEALTH
Entity Type:Organization
Organization Name:RGV CALIDAD HOME HEALTH LLC DBA CALIDAD HOME HEALTH
Other - Org Name:CALIDAD HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:G
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-797-4290
Mailing Address - Street 1:P.O. BOX 595
Mailing Address - Street 2:
Mailing Address - City:LA FERIA
Mailing Address - State:TX
Mailing Address - Zip Code:78559
Mailing Address - Country:US
Mailing Address - Phone:956-797-4290
Mailing Address - Fax:956-797-4287
Practice Address - Street 1:1600 E. EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:LA FERIA
Practice Address - State:TX
Practice Address - Zip Code:78559
Practice Address - Country:US
Practice Address - Phone:956-797-4290
Practice Address - Fax:956-797-4287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX010809251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2207748Medicaid
TX2207748Medicaid