Eighteen Lac, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011576 Issued in TX

Legal business name

EIGHTEEN LAC, INC

Practice address

2208 Primrose
Suite J-2
McAllen, TX 78504

Phone

(956) 618-0040

Fax

(956) 618-0060

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Osama Kalam

Title

Administrator

Phone

(956) 618-0040

Specialties & licenses 2

Addresses

Other names 1

• Divinity Home Healthcare Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1750488128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 PRIMROSE",
            "address_2": "SUITE J-2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-618-0040",
            "fax_number": "956-618-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 PRIMROSE",
            "address_2": "SUITE J-2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-618-0040",
            "fax_number": "956-618-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIGHTEEN LAC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "KALAM",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-618-0040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010768",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divinity Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy Dewayne Edwards, D.O.
• Efrailan Marin
• Obiora Emmaunel Egbo, MD
• Egonsa Dialysis LLC
• Luis E Eguia, MD
• El Jardin Provider Services, LLC.
• Loubna El Kettani
• El Oro del Pueblo Services, Inc.
• El Reino Adult Day Care LLC
• El Sinai Homecare LLC

• Home Health Agency in McAllen, TX
• Providers in McAllen, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.