Provider Demographics
NPI:1770506115
Name:BUENA VIDA HOME HEALTH L.L.P.
Entity Type:Organization
Organization Name:BUENA VIDA HOME HEALTH L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-463-9986
Mailing Address - Street 1:217 S OKLAHOMA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7970
Mailing Address - Country:US
Mailing Address - Phone:956-968-9264
Mailing Address - Fax:956-968-6836
Practice Address - Street 1:217 S OKLAHOMA AVE STE B
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7970
Practice Address - Country:US
Practice Address - Phone:956-968-9264
Practice Address - Fax:956-968-6836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health