Provider Demographics
NPI:1104546506
Name:CARE-MED HOME HEALTH LLC
Entity type:Organization
Organization Name:CARE-MED HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BERTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-336-7381
Mailing Address - Street 1:6517 7 1/2 MILE RD.
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-7221
Mailing Address - Country:US
Mailing Address - Phone:956-591-0268
Mailing Address - Fax:
Practice Address - Street 1:6517 7 1/2 MILE RD.
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-7221
Practice Address - Country:US
Practice Address - Phone:956-591-0268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health