Provider Demographics
NPI:1770638108
Name:SOUTH TEXAS NURSING CARE, INC.
Entity Type:Organization
Organization Name:SOUTH TEXAS NURSING CARE, INC.
Other - Org Name:SOUTH TEXAS NURSING CARE, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUCEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-423-7477
Mailing Address - Street 1:509 WEST HARRISON
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-423-7477
Mailing Address - Fax:956-423-7407
Practice Address - Street 1:509 WEST HARRISON
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-423-7477
Practice Address - Fax:956-428-7813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002649251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000121700Medicaid