Provider Demographics
NPI:1790126969
Name:RGV ANGELS OF CARE LLC
Entity Type:Organization
Organization Name:RGV ANGELS OF CARE LLC
Other - Org Name:RGV ANGELS OF CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIJANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-585-2466
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0009
Mailing Address - Country:US
Mailing Address - Phone:956-585-2466
Mailing Address - Fax:956-585-2395
Practice Address - Street 1:848 E EXPRESSWAY 83 STE 2
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560-4178
Practice Address - Country:US
Practice Address - Phone:956-585-2466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health