Provider Demographics
NPI:1710917406
Name:IPH PRIMARY HOME CARE, INC.
Entity type:Organization
Organization Name:IPH PRIMARY HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEYLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-971-9732
Mailing Address - Street 1:2901 N 10TH ST STE N
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1947
Mailing Address - Country:US
Mailing Address - Phone:956-971-9732
Mailing Address - Fax:956-971-9307
Practice Address - Street 1:2901 N 10TH ST STE N
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1947
Practice Address - Country:US
Practice Address - Phone:956-971-9732
Practice Address - Fax:956-971-9307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX006027251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001000931Medicaid
TX000122500Medicaid