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SAN MIGUEL HOME HEALTH CARE LLC NPI 1407342066


NPI Information

NPI: 1407342066
Provider Name: SAN MIGUEL HOME HEALTH CARE LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 45D2188076

Address:
4220 S WARE RD
MCALLEN, TX
ZIP 78503
Phone: (956) 688-8022
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SAN MIGUEL HOME HEALTH CARE LLC is a nursing care in Mcallen, TX. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. SAN MIGUEL HOME HEALTH CARE LLC NPI is 1407342066. The provider is registered as an organization entity type.

The provider's business location address is:

4220 S WARE RD
MCALLEN, TX
ZIP 78503-788
Phone: (956) 688-8022
Fax: (956) 688-9380

The provider's authorized official is Felicitas T Macias .
The authorized official title is Owner/administrator and has the following contact phone number (956) 867-6099.

The CLIA number assigned to this NPI record is 45D2188076 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2018 and was last updated on 8/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251E00000XHome HealthTEXASNo
3251F00000XHome InfusionNo
4251J00000XNursing CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1392199101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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