Provider Demographics
NPI:1912363664
Name:AMOROSA HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:AMOROSA HEALTHCARE SERVICES, LLC
Other - Org Name:AMOROSA HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GILDA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-683-1842
Mailing Address - Street 1:900 E. REDBUD AVE.
Mailing Address - Street 2:SUITE 17-C
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-272-1963
Mailing Address - Fax:956-435-0134
Practice Address - Street 1:900 E. REDBUD AVE.
Practice Address - Street 2:SUITE 17-C
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-272-1963
Practice Address - Fax:956-435-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32055344595OtherTAXPAYER NUMBER
TX3829624-01Medicaid