Provider Demographics
NPI:1710934914
Name:RIO HOME CARE, LLC
Entity Type:Organization
Organization Name:RIO HOME CARE, LLC
Other - Org Name:RIO HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LOFTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-783-8400
Mailing Address - Street 1:1003 EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516
Mailing Address - Country:US
Mailing Address - Phone:956-783-8400
Mailing Address - Fax:956-783-8410
Practice Address - Street 1:1003 EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-2301
Practice Address - Country:US
Practice Address - Phone:956-783-8400
Practice Address - Fax:956-783-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008465251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013742Medicaid
TX679366Medicare ID - Type UnspecifiedHOME HEALTH CARE