Provider Demographics
NPI:1285118653
Name:SJV HOME HEALTH, INC.
Entity type:Organization
Organization Name:SJV HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-621-0136
Mailing Address - Street 1:4975 CAMINO DEL SOL
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4026
Mailing Address - Country:US
Mailing Address - Phone:956-621-0136
Mailing Address - Fax:
Practice Address - Street 1:4975 CAMINO DEL SOL
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4026
Practice Address - Country:US
Practice Address - Phone:956-621-0136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty