Provider Demographics
NPI:1528510013
Name:SACRED HEART AGENCY, LLC.
Entity type:Organization
Organization Name:SACRED HEART AGENCY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-678-6178
Mailing Address - Street 1:515 E PIKE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4920
Mailing Address - Country:US
Mailing Address - Phone:956-678-6178
Mailing Address - Fax:
Practice Address - Street 1:515 E PIKE BLVD STE D
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4920
Practice Address - Country:US
Practice Address - Phone:956-678-6178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care