Provider Demographics
NPI:1124168851
Name:PAZ HOME HEALTH LLC
Entity type:Organization
Organization Name:PAZ HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAYANA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:BERMEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-781-8445
Mailing Address - Street 1:1111 W. NOLANA
Mailing Address - Street 2:STE S
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-781-8445
Mailing Address - Fax:956-781-8448
Practice Address - Street 1:1111 W. NOLANA
Practice Address - Street 2:STE S
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-781-8445
Practice Address - Fax:956-781-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012598251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679579Medicare ID - Type Unspecified