Provider Demographics
NPI:1720079494
Name:ALL VALLEY HEALTH CARE INC.
Entity Type:Organization
Organization Name:ALL VALLEY HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ERNESTO
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-464-7741
Mailing Address - Street 1:2115 LOTT RD
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-5633
Mailing Address - Country:US
Mailing Address - Phone:956-464-7741
Mailing Address - Fax:956-464-0007
Practice Address - Street 1:2115 LOTT RD
Practice Address - Street 2:SUITE B
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-5633
Practice Address - Country:US
Practice Address - Phone:956-783-4746
Practice Address - Fax:956-783-7831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2020-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009099251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179152702OtherTPI
TX009099OtherMEDICARE LICENSE NUMBER
TX45D1025383OtherCLIA
TXSW22445OtherSUBMITTER ID
TX45D1025383OtherCLIA