Provider Demographics
NPI:1912175902
Name:HEALTHPROV L.L.C.
Entity type:Organization
Organization Name:HEALTHPROV L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER-CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CIGARROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-728-0411
Mailing Address - Street 1:316 WESTMONT DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2745
Mailing Address - Country:US
Mailing Address - Phone:956-727-4007
Mailing Address - Fax:
Practice Address - Street 1:1505 CALLE DEL NORTE
Practice Address - Street 2:#375
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6036
Practice Address - Country:US
Practice Address - Phone:956-728-0411
Practice Address - Fax:956-728-0415
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHPROV L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-13
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7254OtherMEDICARE
TX217846901Medicaid