Provider Demographics
NPI:1588703292
Name:NEIGHBORHOOD HEALTH CARE, INC.
Entity type:Organization
Organization Name:NEIGHBORHOOD HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - CHIEF OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-428-8880
Mailing Address - Street 1:624 N ED CAREY DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7912
Mailing Address - Country:US
Mailing Address - Phone:956-428-8880
Mailing Address - Fax:956-428-5550
Practice Address - Street 1:624 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7912
Practice Address - Country:US
Practice Address - Phone:956-428-8880
Practice Address - Fax:956-428-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015582251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024233101Medicaid
TX459115Medicare ID - Type UnspecifiedLIC., CERTIF. HOME HEALTH