Provider Demographics
NPI:1982836912
Name:DANICA HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DANICA HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:E
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:210-639-7498
Mailing Address - Street 1:6326 SOVEREIGN ST
Mailing Address - Street 2:SUITE 142
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5139
Mailing Address - Country:US
Mailing Address - Phone:210-647-5300
Mailing Address - Fax:210-647-5301
Practice Address - Street 1:6326 SOVEREIGN ST
Practice Address - Street 2:SUITE 142
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5139
Practice Address - Country:US
Practice Address - Phone:210-647-5300
Practice Address - Fax:210-647-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-09
Last Update Date:2009-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health