# CASITA CORAZON HEALTHCARE AGENCY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275087348
- **Authorized official:** MR. EDGARDO RODRIGUEZ RN (ADMINISTRATOR)
- **Authorized official phone:** (956) 353-6253

## Contact information

- **Practice address:** 207 S CAGE BLVD, STE A-2, PHARR, TX 78577
- **Practice address phone:** (956) 353-6253
- **Practice address fax:** (956) 353-6389
- **Mailing address:** 207 S CAGE BLVD, STE A-2, PHARR, TX 78577
- **Mailing address phone:** (956) 353-6253
- **Mailing address fax:** (956) 353-6389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 08/06/2016
- **Last updated:** 06/05/2020