Provider Demographics
NPI:1942576509
Name:EXPRESS HOME CARE, LLC
Entity Type:Organization
Organization Name:EXPRESS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-251-5318
Mailing Address - Street 1:5707 GREY ROCK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-6528
Mailing Address - Country:US
Mailing Address - Phone:956-251-5318
Mailing Address - Fax:210-579-1111
Practice Address - Street 1:5707 GREY ROCK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-6528
Practice Address - Country:US
Practice Address - Phone:956-251-5318
Practice Address - Fax:210-579-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health