Provider Demographics
NPI:1790847531
Name:SANTA CRUZ HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:SANTA CRUZ HEALTH SERVICES, INC
Other - Org Name:ALL ABOUT KIDS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALVIAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:956-412-3337
Mailing Address - Street 1:2102 W TEEGE AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-4667
Mailing Address - Country:US
Mailing Address - Phone:956-412-3337
Mailing Address - Fax:956-412-3338
Practice Address - Street 1:2102 W. TEEGE AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8592
Practice Address - Country:US
Practice Address - Phone:956-412-3337
Practice Address - Fax:956-412-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011456251E00000X, 251J00000X, 310400000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170786101Medicaid
TX673110Medicare ID - Type Unspecified