Organization
COLONIAL HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR CAMILO R.N. (ADMINISTRATOR)
(210) 225-1115
Entity
Organization
Contact information
Practice address
2735 NACOGDOCHES RD, SAN ANTONIO, TX 78217-5830
(210) 225-1115
(210) 225-1114
Mailing address
2735 NACOGDOCHES RD, SAN ANTONIO, TX 78217-5830
(210) 225-1115
(210) 225-1114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007963
TX
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186870501
—
TX
Enumeration date
11/10/2006
Last updated
09/14/2018
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