# INNOVATIVE VALLEY HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1518215193
- **Authorized official:** ELEONZETTA BONILLA (CEO)
- **Authorized official phone:** (956) 245-6050

## Contact information

- **Practice address:** 1510 S EXPRESSWAY 83 STE B, HARLINGEN, TX 78550-6302
- **Practice address phone:** (956) 245-1235
- **Practice address fax:** (956) 440-0856
- **Mailing address:** 1510 S EXPRESSWAY 83 STE B, HARLINGEN, TX 78550-6302
- **Mailing address phone:** (956) 873-4483
- **Mailing address fax:** (956) 440-0856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 27449 | TX | Yes |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 02/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 202804501 | — | TX |