Provider Demographics
NPI:1487704615
Name:AMADO HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:AMADO HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:OJEAGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN
Authorized Official - Phone:956-630-0006
Mailing Address - Street 1:508 W EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2953
Mailing Address - Country:US
Mailing Address - Phone:956-630-0006
Mailing Address - Fax:
Practice Address - Street 1:508 W EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2953
Practice Address - Country:US
Practice Address - Phone:956-630-0006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010145251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN679599Medicare ID - Type UnspecifiedPROVIDER NUMBER