Provider Demographics
NPI:1548477748
Name:RGV ELDER HEALTH SYSTEMS, INC.
Entity type:Organization
Organization Name:RGV ELDER HEALTH SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADRIGALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-0103
Mailing Address - Street 1:PO BOX 1136
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0018
Mailing Address - Country:US
Mailing Address - Phone:956-583-0103
Mailing Address - Fax:956-583-5120
Practice Address - Street 1:9500 HWY 107
Practice Address - Street 2:SUITE B
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-8247
Practice Address - Country:US
Practice Address - Phone:956-583-0103
Practice Address - Fax:956-583-5120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008975251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health