Provider Demographics
NPI: | 1396991535 |
---|---|
Name: | RECOVERY HOME HEALTH CARE SYSTEMS INC. |
Entity type: | Organization |
Organization Name: | RECOVERY HOME HEALTH CARE SYSTEMS INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | ARTURO |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GONZALEZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 956-702-4000 |
Mailing Address - Street 1: | 1200 W POLK AVE |
Mailing Address - Street 2: | SUITE E |
Mailing Address - City: | PHARR |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78577-2138 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 956-702-4000 |
Mailing Address - Fax: | 956-702-4123 |
Practice Address - Street 1: | 1200 W POLK AVE |
Practice Address - Street 2: | SUITE E |
Practice Address - City: | PHARR |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78577-2138 |
Practice Address - Country: | US |
Practice Address - Phone: | 956-702-4000 |
Practice Address - Fax: | 956-702-4123 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-08-07 |
Last Update Date: | 2008-08-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 016359402 | Medicaid |