Provider Demographics
NPI:1174795587
Name:GBS HOME HEALTH, LLC.
Entity type:Organization
Organization Name:GBS HOME HEALTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:TREJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-464-1066
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-3918
Mailing Address - Country:US
Mailing Address - Phone:956-464-1066
Mailing Address - Fax:956-464-5774
Practice Address - Street 1:605 NORTH MAIN STREET
Practice Address - Street 2:SUITE A
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-3918
Practice Address - Country:US
Practice Address - Phone:956-464-1066
Practice Address - Fax:956-464-5774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010411251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194374801Medicaid
TX194374801Medicaid