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
Fax: (956) 318-3240
Website:
Authorized official contact:
Name: Cantu, Myrna I

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134312101 NPPES
Texas MEDICAID 1854903-01

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