Provider Demographics
NPI:1285086272
Name:CARING DOVES HOME HEALTH CARE SERVICES
Entity type:Organization
Organization Name:CARING DOVES HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IMELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-324-0063
Mailing Address - Street 1:214 GRANADA DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2615
Mailing Address - Country:US
Mailing Address - Phone:956-324-0063
Mailing Address - Fax:
Practice Address - Street 1:214 GRANADA DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2615
Practice Address - Country:US
Practice Address - Phone:956-324-0063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING DOVES HOME HEALTH CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-01
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17484019251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX638051302Medicaid