Provider Demographics
NPI:1316137508
Name:NEW BRAUNFELS HOME HEALTH, INC.
Entity type:Organization
Organization Name:NEW BRAUNFELS HOME HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-495-2525
Mailing Address - Street 1:8301 BROADWAY ST
Mailing Address - Street 2:120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2006
Mailing Address - Country:US
Mailing Address - Phone:210-495-2525
Mailing Address - Fax:210-495-2526
Practice Address - Street 1:8301 BROADWAY ST
Practice Address - Street 2:120
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2006
Practice Address - Country:US
Practice Address - Phone:210-495-2525
Practice Address - Fax:210-495-2526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010336251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9584OtherMEDICARE PROVIDER NUMBER