NPIMap

Organization Active NPI

Rio Grande Home Health Agency, Inc

  • Home Health Agency
  • Harlingen, TX
National Provider Identifier
1366491706
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003055 Issued in TX
Legal business name
RIO GRANDE HOME HEALTH AGENCY, INC
Practice address
630 N Ed Carey Dr Ste a
Harlingen, TX 78550-7506
Phone
(956) 423-7100
Fax
(956) 423-7241
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn M Molina
Title
Ceo
Phone
(956) 423-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 003055 TX Primary

Addresses

Primary practice location

630 N Ed Carey Dr Ste a
Harlingen, TX 78550-7506

Mailing address

630 N Ed Carey Dr
Harlingen, TX 78550-7506
Phone (956) 423-7100

Other identifiers 9

IdentifierTypeStateIssuer
001003408MedicaidTX
000620400MedicaidTX
000080500MedicaidTX
001003407MedicaidTX
001003409MedicaidTX
001003404MedicaidTX
0235129-01MedicaidTX
001003405MedicaidTX
001003406MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110901000093 TX Part A Provider - Home Health Agency 4688844541 Practice locations: Harlingen, TX

Home health agency certification: CCN 457089

Legal name
RIO GRANDE HOME HEALTH AGENCY, INC
Doing business as
RIO GRANDE HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 6, 1975
Last certification
Oct 24, 2019
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Apr 14, 1975 in TX
Enrollment address
630 N. Ed Carey Dr.
Harlingen, TX 78550-7316
HHA Branch

National Provider Directory

National Provider Directory

Locations

630 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 423-7100

630 N Ed Carey Dr
Ste A
Harlingen, TX 78550
Phone (956) 423-7100

1713 E Tyler Ave
Ste A
Harlingen, TX 78550
Phone (956) 423-7100

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dawn Molina Individual 5% Or Greater Indirect Ownership Interest Sep 25, 2017
Corporate OfficerPresident Jan 26, 2017 100%
W-2 Managing EmployeePresident Jan 26, 2017 100%
Rio Grande Home Health Agency, Inc Organization, Harlingen, TX Non-profit Operational/Managerial Control Jun 1, 2011

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rio Grande Home Health Agency IncCCN 457089
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 6, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0891210Rio Grande Home Health Agency630 N Ed Carey Drive, Harlingen, TX 78550Certificate of waiverSep 1, 2026

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1366491706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507506",
            "telephone_number": "956-423-7100",
            "fax_number": "956-423-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N ED CAREY DR STE A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507506",
            "telephone_number": "956-423-7100",
            "fax_number": "956-423-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-423-7100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003408",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000620400",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000080500",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003407",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003409",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235129-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.