Provider Demographics
NPI:1245688217
Name:BORDERLAND HOME HEALTH CARE
Entity type:Organization
Organization Name:BORDERLAND HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KINCAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-227-9525
Mailing Address - Street 1:310 MARGARET LN
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-2329
Mailing Address - Country:US
Mailing Address - Phone:830-775-4479
Mailing Address - Fax:830-775-4480
Practice Address - Street 1:310 MARGARET LN
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-2329
Practice Address - Country:US
Practice Address - Phone:830-775-4479
Practice Address - Fax:830-775-4480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health