Provider Demographics
NPI:1669565420
Name:SANTA FE HEALTHCARE, INC.
Entity type:Organization
Organization Name:SANTA FE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:G
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-256-3980
Mailing Address - Street 1:P.O. BOX 510
Mailing Address - Street 2:
Mailing Address - City:BENAVIDES
Mailing Address - State:TX
Mailing Address - Zip Code:78341-0510
Mailing Address - Country:US
Mailing Address - Phone:361-256-3980
Mailing Address - Fax:361-256-3981
Practice Address - Street 1:119 W. RAILROAD AVE.
Practice Address - Street 2:
Practice Address - City:BENAVIDES
Practice Address - State:TX
Practice Address - Zip Code:78341
Practice Address - Country:US
Practice Address - Phone:361-256-3980
Practice Address - Fax:361-256-3981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X, 253Z00000X
TX008750251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX008750OtherHOME HEALTH LICENSE
TX167086101Medicaid