Provider Demographics
NPI:1144562539
Name:SAN JOSE HEALTH CARE, LLC
Entity type:Organization
Organization Name:SAN JOSE HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-781-3254
Mailing Address - Street 1:121 E. NEWCOMBE AVE.
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-4849
Mailing Address - Country:US
Mailing Address - Phone:956-781-3254
Mailing Address - Fax:956-781-3210
Practice Address - Street 1:121 E PARK AVE
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-4849
Practice Address - Country:US
Practice Address - Phone:956-781-3254
Practice Address - Fax:956-781-3210
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRECKENRIDGE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-23
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health