Angel de la Guardia
Organization Active NPI Home Health Agency · Mission, TX
NPI 1376589580 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376589580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- PENDING (TX)
- Legal business name
- ANGEL DE LA GUARDIA
- Practice address
- 1721 E Griffin Pkwy
Suite a
Mission, TX 78572-3103 - Phone
- (956) 584-3196
- Fax
- (956) 584-3187
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Roberto Hernandez, COTA/L
- Title
- Administrator
- Phone
- (956) 584-3196
National Provider Directory
Locations
1721 E Griffin Pkwy
#A
Mission, TX 78572
Phone (956) 584-3196
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PENDING | TX | Yes |
Addresses
Primary practice location
1721 E Griffin Pkwy
Suite a
Mission, TX 78572-3103
Mailing address
1721 E Griffin Pkwy
Suite a
Mission, TX 78572-3103
Phone (956) 584-3196
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.