Fort Duncan Home Health And Hospice Care

LBN: Maverick Adult Day Care L.L.C.
Fort Duncan Home Health And Hospice Care is an health care organization with primary practice located at 3147 Megan St , Eagle Pass TX 78852-5891. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Maverick Adult Day Care L.L.C. can be contacted via phone (830) 757-0966, or through Santana, Raphael via phone (830) 757-0966.

Contact Information

Primary practice address
3147 Megan St Eagle Pass TX 78852-5891
Phone: (830) 757-0966
Fax: (830) 757-0976
Website:
Map and Directions
Authorized official contact:
Name: Santana, Raphael R.N., BNS
Phone: (830) 757-0966

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 009852 Texas

Profile Details

NPI number 1730317322
LBN Legal business name Maverick Adult Day Care L.L.C.
DBA Doing business as Fort Duncan Home Health And Hospice Care
Authorized official Santana, Raphael R.N., BNS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730317322 NPPES
Texas MEDICAID 192509104
Texas MEDICAID 192509103

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