Provider Demographics
NPI:1952495301
Name:MY HOME CARE, L.P.
Entity Type:Organization
Organization Name:MY HOME CARE, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRECKENRIDGE
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:830-775-8162
Mailing Address - Street 1:2107 VETERANS BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-3007
Mailing Address - Country:US
Mailing Address - Phone:830-775-8162
Mailing Address - Fax:830-775-8172
Practice Address - Street 1:2107 VETERANS BLVD STE 4
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3007
Practice Address - Country:US
Practice Address - Phone:830-775-8162
Practice Address - Fax:830-775-8172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011109251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty