Lakeview Home Care Inc
Organization Active NPI Home Health Agency · Mathis, TX
NPI 1780775668 · NPPES record last updated Mar 24, 2016
Key facts
- NPI
- 1780775668
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 003523 (TX)
- Legal business name
- LAKEVIEW HOME CARE INC
- Practice address
- 307 East San Patricio
Mathis, TX 78368 - Phone
- (361) 547-5501
- Fax
- (361) 547-3688
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Marta A. Buentello
- Title
- Owner / Administrator / Ceo
- Phone
- (361) 547-5501
National Provider Directory
Locations
307 E San Patricio Ave
Mathis, TX 78368
Phone (361) 547-5501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 003523 | TX | Yes |
Addresses
Primary practice location
307 East San Patricio
Mathis, TX 78368
Mailing address
307 East San Patricio
Mathis, TX 78368
Phone (361) 547-5501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024157201 | Medicaid | TX |
Other providers in Mathis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2016. 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.