Provider Demographics
NPI:1568451177
Name:CARINOSA HEALTHCARE INC
Entity type:Organization
Organization Name:CARINOSA HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-272-7007
Mailing Address - Street 1:2809 S EXPRESSWAY 83 STE F
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7613
Mailing Address - Country:US
Mailing Address - Phone:210-272-7007
Mailing Address - Fax:210-530-9114
Practice Address - Street 1:2809 S EXPRESSWAY 83 STE F
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-664-9667
Practice Address - Fax:956-664-2190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008748251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1029751OtherANCILLARY CARE MANAGEMENT
TX7594748OtherAETNA
TX21856948OtherGEHA
TXHH311HOtherBCBS-TX
TX1029751OtherANCILLARY CARE MANAGEMENT