Provider Demographics
NPI:1902823800
Name:VERGE HOME CARE,LLC
Entity Type:Organization
Organization Name:VERGE HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SEDAT
Authorized Official - Middle Name:
Authorized Official - Last Name:NECIPOGLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-287-7575
Mailing Address - Street 1:4622 S CLOSNER BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7279
Mailing Address - Country:US
Mailing Address - Phone:956-287-7575
Mailing Address - Fax:956-287-7979
Practice Address - Street 1:4622 S CLOSNER BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7279
Practice Address - Country:US
Practice Address - Phone:956-287-7575
Practice Address - Fax:956-287-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010293251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010293OtherSTATE LICENSE