Provider Demographics
NPI:1134274269
Name:CHRISTIAN QUALITY HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:CHRISTIAN QUALITY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAZANDRA
Authorized Official - Middle Name:Q
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-425-9494
Mailing Address - Street 1:113 E PORTE CT
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-2537
Mailing Address - Country:US
Mailing Address - Phone:956-425-9494
Mailing Address - Fax:956-425-9492
Practice Address - Street 1:113 E PORTE CT
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-2537
Practice Address - Country:US
Practice Address - Phone:956-425-9494
Practice Address - Fax:956-425-9492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008815251F00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679438Medicare ID - Type UnspecifiedPROVIDER NUMBER