Provider Demographics
NPI:1023053139
Name:MY MORNING STAR HOME CARE, INC.
Entity type:Organization
Organization Name:MY MORNING STAR HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTELA
Authorized Official - Middle Name:TATOY
Authorized Official - Last Name:SOTELO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-781-7827
Mailing Address - Street 1:300 E NOLANA LOOP
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-9684
Mailing Address - Country:US
Mailing Address - Phone:956-781-7827
Mailing Address - Fax:956-781-7830
Practice Address - Street 1:300 NOLANA LOOP
Practice Address - Street 2:STE A
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577
Practice Address - Country:US
Practice Address - Phone:956-781-7827
Practice Address - Fax:956-781-7830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
TX010306251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty