Provider Demographics
NPI:1871202226
Name:BIT OF HEAVEN PRIMARY HOME CARE, INC.
Entity type:Organization
Organization Name:BIT OF HEAVEN PRIMARY HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA TORRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-620-5381
Mailing Address - Street 1:6717 S JACKSON RD STE A
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-7070
Mailing Address - Country:US
Mailing Address - Phone:956-620-5381
Mailing Address - Fax:956-306-3497
Practice Address - Street 1:6717 S JACKSON RD STE A
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-7070
Practice Address - Country:US
Practice Address - Phone:956-620-5381
Practice Address - Fax:956-306-3497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty