Provider Demographics
NPI:1922528785
Name:VIDA LINDA HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:VIDA LINDA HOME CARE SERVICES LLC
Other - Org Name:VIDA LINDA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-291-2659
Mailing Address - Street 1:3127 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-5012
Mailing Address - Country:US
Mailing Address - Phone:956-291-2659
Mailing Address - Fax:
Practice Address - Street 1:3127 WILSON RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-5012
Practice Address - Country:US
Practice Address - Phone:956-291-2659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-22
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care