Provider Demographics
NPI:1043801822
Name:LINE CARE HEALTH SERVICES, LLC.
Entity type:Organization
Organization Name:LINE CARE HEALTH SERVICES, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-620-4154
Mailing Address - Street 1:302 E. US HWY 83
Mailing Address - Street 2:STE 10
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-2900
Mailing Address - Country:US
Mailing Address - Phone:956-620-4154
Mailing Address - Fax:956-435-0311
Practice Address - Street 1:302 E. US HWY 83
Practice Address - Street 2:STE 10
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-2900
Practice Address - Country:US
Practice Address - Phone:956-620-4154
Practice Address - Fax:956-435-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty