Provider Demographics
NPI:1144262866
Name:SAN MARTIN HOME HEALTH, INC
Entity type:Organization
Organization Name:SAN MARTIN HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / CFO
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:RENTERIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-544-6385
Mailing Address - Street 1:700 PAREDES AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2170
Mailing Address - Country:US
Mailing Address - Phone:956-544-6385
Mailing Address - Fax:956-544-6536
Practice Address - Street 1:700 PAREDES AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2170
Practice Address - Country:US
Practice Address - Phone:956-544-6385
Practice Address - Fax:956-544-6536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X, 3747P1801X
TX004014251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0250466-03Medicaid
TX0250466-01Medicaid
TX000112700Medicaid
TX000653800Medicaid
TX0250466-05Medicaid
TX678233Medicare Oscar/Certification