Provider Demographics
NPI:1932680188
Name:EL VALLE QUALITY HOME CARE
Entity Type:Organization
Organization Name:EL VALLE QUALITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:956-357-0446
Mailing Address - Street 1:23092 EL CAMPO RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-4147
Mailing Address - Country:US
Mailing Address - Phone:956-357-0446
Mailing Address - Fax:956-230-0300
Practice Address - Street 1:23092 EL CAMPO RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-4147
Practice Address - Country:US
Practice Address - Phone:956-357-0446
Practice Address - Fax:956-230-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-26
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX018780253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care