Provider Demographics
NPI:1336382928
Name:WINGS HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:WINGS HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:CASANI
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-992-0895
Mailing Address - Street 1:4313 N 10TH ST STE G1
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3066
Mailing Address - Country:US
Mailing Address - Phone:956-992-0895
Mailing Address - Fax:956-992-8910
Practice Address - Street 1:4313 N 10TH ST STE G1
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3066
Practice Address - Country:US
Practice Address - Phone:956-992-0895
Practice Address - Fax:956-992-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-12
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012714OtherTEXAS DEPARTMENT OF AGING & DISABILITY SERVICES-LICENSE
TX45D1101631OtherCENTERS FOR MEDICARE & MEDICAID SERVICES-CLIA
TX74-7568OtherCENTERS FOR MEDICARE & MEDICAID SERVICES-PTAN
TX74-7568OtherCENTERS FOR MEDICARE & MEDICAID SERVICES-PTAN