Amistad Provider Agency, Inc.
LBN: Amistad Provider Agency, Inc.
Amistad Provider Agency, Inc. is an health care organization with primary practice located at 601 E Mcintyre Ave , Edinburg TX 78541. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Personal Care Attendant, Respite Care Facility / Respite Care. Nursing Service Related Providers / Personal Care Attendant is the primary health care specialty.
Amistad Provider Agency, Inc. can be contacted via phone (956) 318-3235, or through Cantu, Myrna I via phone (956) 867-8881.
Contact Information
Primary practice address
601 E Mcintyre Ave
Edinburg TX 78541
Phone: (956) 318-3235
Fax: (956) 318-3240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 012246 | Texas |
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 012246 | Texas |
| Respite Care Facility / Respite Care | 385H00000X | 012246 | Texas |
Profile Details
| NPI number | 1134312101 |
|---|---|
| LBN Legal business name | Amistad Provider Agency, Inc. |
| DBA Doing business as | Amistad Provider Agency, Inc. |
| Authorized official | Cantu, Myrna I |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Jun 11th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134312101 | NPPES |
| Texas | MEDICAID | 1854903-01 |
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