Provider Demographics
NPI:1306809413
Name:SUNGLO HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:SUNGLO HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-423-6100
Mailing Address - Street 1:2026 E TYLER AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7466
Mailing Address - Country:US
Mailing Address - Phone:956-423-6100
Mailing Address - Fax:956-365-3387
Practice Address - Street 1:802 E TYLER AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7466
Practice Address - Country:US
Practice Address - Phone:956-423-6100
Practice Address - Fax:956-365-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002231251G00000X, 251E00000X
TX60K8255261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001002371OtherMDCP WAIVER PROGRAM
TX001013703OtherDAHS WAIVER PROGRAM
TX001012023OtherPHC WAIVER PROGRAM
TX001013702OtherDAHS WAIVER PROGRAM
TX001013706OtherDAHS WAIVER PROGRAM
TX001013707OtherDAHS WAIVER PROGRAM
TX001013704OtherDAHS WAIVER PROGRAM
TX001013705OtherDHAS WAIVER PROGRAM
TX000651000OtherCBA WAIVER PROGRAM
TX001013701OtherDAHS WAIVER PROGRAM
TX024556501Medicaid
TX001013701OtherDAHS WAIVER PROGRAM
TX024556501Medicaid