Provider Demographics
NPI:1811358872
Name:ABCEDY PEDIATRICS HOME HEALTH SERVICES
Entity type:Organization
Organization Name:ABCEDY PEDIATRICS HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-827-2150
Mailing Address - Street 1:114 STONE TRL
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-3440
Mailing Address - Country:US
Mailing Address - Phone:210-827-2150
Mailing Address - Fax:844-270-5649
Practice Address - Street 1:114 STONE TRL
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-3440
Practice Address - Country:US
Practice Address - Phone:210-827-2150
Practice Address - Fax:844-270-5649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health