Provider Demographics
NPI:1780870824
Name:SAINT MATTHEW HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:SAINT MATTHEW HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MELARAGNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-994-8989
Mailing Address - Street 1:2927 S JACKSON RD
Mailing Address - Street 2:SUITE D2, D3
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-2595
Mailing Address - Country:US
Mailing Address - Phone:956-994-8989
Mailing Address - Fax:956-994-8682
Practice Address - Street 1:2927 S JACKSON RD
Practice Address - Street 2:SUITE D2, D3
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-2595
Practice Address - Country:US
Practice Address - Phone:956-994-8989
Practice Address - Fax:956-994-8682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215648101Medicaid
TXHH487MOtherBLUE CROSS BLUE SHIELD
TX215648101Medicaid