Provider Demographics
NPI:1285048967
Name:AUTHENTIC HOME CARE INC
Entity type:Organization
Organization Name:AUTHENTIC HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-385-1737
Mailing Address - Street 1:9506 VALLEY DALE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3971
Mailing Address - Country:US
Mailing Address - Phone:210-385-1737
Mailing Address - Fax:210-352-5479
Practice Address - Street 1:9506 VALLEY DALE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-3971
Practice Address - Country:US
Practice Address - Phone:210-385-1737
Practice Address - Fax:210-352-5479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health