Provider Demographics
NPI:1750836243
Name:MARTIN HOME CARE LLC
Entity Type:Organization
Organization Name:MARTIN HOME CARE LLC
Other - Org Name:HERE TO HELP A HAPPY HOME CARE COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:210-501-0716
Mailing Address - Street 1:4007 MCCULLOUGH AVE
Mailing Address - Street 2:SUITE 485
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2420
Mailing Address - Country:US
Mailing Address - Phone:210-501-0716
Mailing Address - Fax:210-876-1876
Practice Address - Street 1:106 E RIDGEWOOD CT
Practice Address - Street 2:SUITE 485
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-2477
Practice Address - Country:US
Practice Address - Phone:210-501-0716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health