Provider Demographics
NPI:1316532955
Name:CHILDRENS HOME TREATMENT SERVICES, LLC
Entity type:Organization
Organization Name:CHILDRENS HOME TREATMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-754-4386
Mailing Address - Street 1:315 CALLE DEL NORTE STE 206-207
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5959
Mailing Address - Country:US
Mailing Address - Phone:956-307-3360
Mailing Address - Fax:956-568-3849
Practice Address - Street 1:315 CALLE DEL NORTE STE 206-207
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5959
Practice Address - Country:US
Practice Address - Phone:956-307-3360
Practice Address - Fax:956-568-3849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316532955Medicaid