Provider Demographics
NPI:1649285347
Name:BASEL MISSION HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:BASEL MISSION HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ELUTERIO
Authorized Official - Middle Name:TEO
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-789-9977
Mailing Address - Street 1:214 N 16TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7983
Mailing Address - Country:US
Mailing Address - Phone:956-331-8156
Mailing Address - Fax:956-331-8619
Practice Address - Street 1:214 N 16TH ST STE 110
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-7983
Practice Address - Country:US
Practice Address - Phone:956-331-8156
Practice Address - Fax:956-331-8619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X, 253Z00000X, 3747P1801X
TX015586251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163852001Medicaid
TX015586OtherSTATE LICENSE NUMBER
TX015586OtherSTATE LICENSE NUMBER