Provider Demographics
NPI:1144040049
Name:HERMANOS IN HOME HEALTH LLC
Entity type:Organization
Organization Name:HERMANOS IN HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:915-600-7490
Mailing Address - Street 1:1102 DEL NORTE ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1609
Mailing Address - Country:US
Mailing Address - Phone:915-600-7490
Mailing Address - Fax:915-248-0425
Practice Address - Street 1:1102 DEL NORTE ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1609
Practice Address - Country:US
Practice Address - Phone:915-600-7490
Practice Address - Fax:915-248-0425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care