Provider Demographics
NPI:1801104765
Name:TEMPCARE HOMEHEALTH SERVICES, INC.
Entity type:Organization
Organization Name:TEMPCARE HOMEHEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CONRADO
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLI
Authorized Official - Suffix:
Authorized Official - Credentials:PE, MBA
Authorized Official - Phone:956-541-4410
Mailing Address - Street 1:950 E ALTON GLOOR BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3936
Mailing Address - Country:US
Mailing Address - Phone:956-541-4410
Mailing Address - Fax:956-541-4434
Practice Address - Street 1:950 E ALTON GLOOR BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3936
Practice Address - Country:US
Practice Address - Phone:956-541-4410
Practice Address - Fax:956-541-4434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0285601Medicaid
TX002897OtherSTATE LICENSE NUMBER
TX0285601Medicaid