Provider Demographics
NPI:1780626101
Name:ALLEGIANCE HEALTH CARE, INC.
Entity type:Organization
Organization Name:ALLEGIANCE HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:956-239-0850
Mailing Address - Street 1:4129 N 22ND ST
Mailing Address - Street 2:STE 5
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4146
Mailing Address - Country:US
Mailing Address - Phone:956-994-1444
Mailing Address - Fax:956-994-8655
Practice Address - Street 1:4129 N 22ND ST
Practice Address - Street 2:STE 5
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4146
Practice Address - Country:US
Practice Address - Phone:956-994-1444
Practice Address - Fax:956-994-8655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010198251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679530Medicare Oscar/Certification