Provider Demographics
NPI:1851993521
Name:CON AMOR PROVIDER SERVICES, LLC
Entity Type:Organization
Organization Name:CON AMOR PROVIDER SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NAYFA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SATARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-627-6100
Mailing Address - Street 1:2041 ORCHID AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0000
Mailing Address - Country:US
Mailing Address - Phone:956-627-6100
Mailing Address - Fax:956-627-6101
Practice Address - Street 1:2041 ORCHID AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-0000
Practice Address - Country:US
Practice Address - Phone:956-627-6100
Practice Address - Fax:956-627-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty