Provider Demographics
NPI:1740426444
Name:WEBB COUNTY TEXAS HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:WEBB COUNTY TEXAS HOME CARE SERVICES, LLC
Other - Org Name:LAREDO HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, BUSINESS OFFICE SUPPORT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLTSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-7466
Mailing Address - Street 1:1700 HENDRICKS AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-4609
Mailing Address - Country:US
Mailing Address - Phone:956-796-3266
Mailing Address - Fax:956-796-3282
Practice Address - Street 1:1700 HENDRICKS AVE FL 2
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-4609
Practice Address - Country:US
Practice Address - Phone:956-796-3266
Practice Address - Fax:956-796-3282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451710Medicare Oscar/Certification