Provider Demographics
NPI:1730957515
Name:PARTNERS HOME CARE LLC
Entity type:Organization
Organization Name:PARTNERS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CERVANTES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-386-7641
Mailing Address - Street 1:15503 VANCE JACKSON RD APT 3207
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3218
Mailing Address - Country:US
Mailing Address - Phone:210-386-7641
Mailing Address - Fax:210-756-3025
Practice Address - Street 1:15503 VANCE JACKSON RD APT 3207
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3218
Practice Address - Country:US
Practice Address - Phone:210-386-7641
Practice Address - Fax:210-756-3025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care