# DISTINCTIVE CARE HOME HEALTH & HOSPICE, LLC

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

## Provider details

- **NPI number:** 1902311483
- **Authorized official:** MRS. IRMA M. CEPEDA RN, WCC (ADMINISTRATOR)
- **Authorized official phone:** (956) 727-9111

## Contact information

- **Practice address:** 6510 POLARIS DR. STE. 2, ROOM \#2, LAREDO, TX 78041
- **Practice address phone:** (956) 324-7689
- **Mailing address:** 6510 POLARIS DR. STE 2, ROOM \# 2, LAREDO, TX 78041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2017
- **Last updated:** 12/06/2017