Provider Demographics
NPI:1356161574
Name:MORNINGSTAR HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:MORNINGSTAR HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:RAUL
Authorized Official - Last Name:MORENO CORRAL
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:915-990-5499
Mailing Address - Street 1:1701 BASSETT AVE STE 151
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1807
Mailing Address - Country:US
Mailing Address - Phone:915-990-5499
Mailing Address - Fax:
Practice Address - Street 1:9375 VISCOUNT BLVD APT 1501
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-8058
Practice Address - Country:US
Practice Address - Phone:915-990-5499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health