Provider Demographics
NPI:1952302739
Name:ALL-VALLEY PRIMARY HOME CARE INC
Entity Type:Organization
Organization Name:ALL-VALLEY PRIMARY HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAZCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-782-9002
Mailing Address - Street 1:PO BOX 5367
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-5367
Mailing Address - Country:US
Mailing Address - Phone:956-782-9002
Mailing Address - Fax:956-782-9888
Practice Address - Street 1:1910 TESORO ST
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-7580
Practice Address - Country:US
Practice Address - Phone:956-782-9002
Practice Address - Fax:956-782-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007171251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000129500Medicaid
TX185525601Medicaid