Provider Demographics
NPI:1245508407
Name:RGV ELDER HEALTH SYSTEMS, INC
Entity type:Organization
Organization Name:RGV ELDER HEALTH SYSTEMS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADRIGALES
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-533-6825
Mailing Address - Street 1:PO BOX 1893
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0031
Mailing Address - Country:US
Mailing Address - Phone:956-583-8013
Mailing Address - Fax:956-583-5120
Practice Address - Street 1:9500 HWY 107
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-8247
Practice Address - Country:US
Practice Address - Phone:956-583-8013
Practice Address - Fax:956-583-5120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RGV ELDER HEALTH SYSTEMS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX131994310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001012462Medicaid
TX1548477748OtherNPI NUMBER FOR ANOTHER D/B/A BEST HEALTH SERVICES
TX001015269Medicaid