Provider Demographics
NPI:1457105546
Name:LINDO CORAZON HOME CARE LLC
Entity Type:Organization
Organization Name:LINDO CORAZON HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:LUISA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-348-9149
Mailing Address - Street 1:3000 AZALEA ST APT 16
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-6699
Mailing Address - Country:US
Mailing Address - Phone:956-348-9149
Mailing Address - Fax:
Practice Address - Street 1:3000 AZALEA ST APT 16
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-6699
Practice Address - Country:US
Practice Address - Phone:956-348-9149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care