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Organization

ANGELS OF MERCY HOME HEALTH, LLC

Active
Other names
DBA Angels of Mercy Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
EVA C AGUAYO LVN (ALTERNATE ADMINISTRATOR)
(956) 583-9995
Entity
Organization

Contact information

Practice address
910 E PALMA VISTA DR STE A, PALMVIEW, TX 78572-2048
(956) 583-9995
(956) 583-1305
Mailing address
910 E PALMA VISTA DR STE A, PALMVIEW, TX 78572-2048
(956) 583-9995
(956) 583-1305

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009584
TX
3747P1801X
Personal Care Attendant
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001015440
PHC
TX
01
001015441
CBA
TX
01
009584
HCSSA LICENSE NUMBER
TX
05
1730053-01
TX
01
CL8644
MEDICARE PART B
TX
Enumeration date
08/11/2006
Last updated
01/04/2023
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