Provider Demographics
NPI:1356218010
Name:UP THERAPY AT HOME LLC
Entity type:Organization
Organization Name:UP THERAPY AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANETTEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:956-540-7040
Mailing Address - Street 1:3321 W ALBERTA RD STE C
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9637
Mailing Address - Country:US
Mailing Address - Phone:956-540-7040
Mailing Address - Fax:956-540-7044
Practice Address - Street 1:3321 W ALBERTA RD STE C
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9637
Practice Address - Country:US
Practice Address - Phone:956-540-7040
Practice Address - Fax:956-540-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health