Provider Demographics
NPI:1912938960
Name:NINO'S HOME CARE,INC
Entity Type:Organization
Organization Name:NINO'S HOME CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, ADON
Authorized Official - Phone:956-878-9033
Mailing Address - Street 1:121 W SAMANO ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4442
Mailing Address - Country:US
Mailing Address - Phone:956-683-7334
Mailing Address - Fax:956-683-7060
Practice Address - Street 1:121 W SAMANO ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4442
Practice Address - Country:US
Practice Address - Phone:956-683-7334
Practice Address - Fax:956-683-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX679390251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013243OtherCBA VENDOR NUMBER
TX161831602Medicaid
TX161831604Medicaid
TX001012450Medicaid
TX161831601Medicaid
TX001012894OtherPHC CONTRCT
TX161831603Medicaid
TX161831603Medicaid