Provider Demographics
NPI:1891021317
Name:GLOWING HEARTS HOME HEALTH, L.L.C.
Entity Type:Organization
Organization Name:GLOWING HEARTS HOME HEALTH, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LVN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIZONDO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-638-1342
Mailing Address - Street 1:PO BOX 3131
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-3131
Mailing Address - Country:US
Mailing Address - Phone:956-316-1700
Mailing Address - Fax:956-316-1702
Practice Address - Street 1:4325 N 23RD ST STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4169
Practice Address - Country:US
Practice Address - Phone:956-316-1700
Practice Address - Fax:956-317-1702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty