Organization
CMS HEALTHCARE PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN PENA CEO (PRESIDENT)
(956) 898-9399
Entity
Organization
Contact information
Practice address
3110 QUINTERO ST, LAREDO, TX 78045-5001
(956) 898-9399
(956) 726-9305
Mailing address
3110 QUINTERO ST, LAREDO, TX 78045-5001
(956) 898-9399
(956) 726-9305
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/20/2023
Last updated
01/21/2025
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