Provider Demographics
NPI:1831272541
Name:MAXIMUM HOME HEALTH, LLC
Entity type:Organization
Organization Name:MAXIMUM HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-289-1200
Mailing Address - Street 1:1609 DAVENPORT ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6543
Mailing Address - Country:US
Mailing Address - Phone:956-289-1200
Mailing Address - Fax:956-289-1221
Practice Address - Street 1:1609 DAVENPORT ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6543
Practice Address - Country:US
Practice Address - Phone:956-289-1200
Practice Address - Fax:956-289-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008549251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457985Medicare ID - Type UnspecifiedPROVIDER NO.