Provider Demographics
NPI:1124679634
Name:HEARTS & SOULS HEALTHCARE, LLC
Entity type:Organization
Organization Name:HEARTS & SOULS HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:CARRIZALES
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:830-776-5428
Mailing Address - Street 1:2149 DEL RIO BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-3487
Mailing Address - Country:US
Mailing Address - Phone:830-776-5428
Mailing Address - Fax:830-776-5429
Practice Address - Street 1:2149 DEL RIO BLVD STE 106
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-3487
Practice Address - Country:US
Practice Address - Phone:830-776-5428
Practice Address - Fax:830-776-5429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health