Provider Demographics
NPI:1669242681
Name:ST. JOSEPH'S HOME HEALTH, INC.
Entity type:Organization
Organization Name:ST. JOSEPH'S HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-684-5858
Mailing Address - Street 1:30 VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6345
Mailing Address - Country:US
Mailing Address - Phone:956-793-9099
Mailing Address - Fax:
Practice Address - Street 1:30 VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6345
Practice Address - Country:US
Practice Address - Phone:956-793-9099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care