Provider Demographics
NPI:1306922034
Name:ST. ANTHONY'S HOME HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:ST. ANTHONY'S HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-994-8766
Mailing Address - Street 1:612 W NOLANA AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3089
Mailing Address - Country:US
Mailing Address - Phone:956-994-8766
Mailing Address - Fax:956-994-8762
Practice Address - Street 1:612 W NOLANA AVE STE 410
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3089
Practice Address - Country:US
Practice Address - Phone:956-994-8766
Practice Address - Fax:956-994-8762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001018088Medicaid
TX010054OtherDEPARTMENT OF AGING & DIABILITY SERVICES
TX184658601Medicaid
TX184658602Medicaid
TX001018088Medicaid