Cordova Bay Llc is a Home Health in Lubbock, Texas. Cordova Bay Llc practices all healthcare services and medical treatments related to Home Health. The NPI Number for Cordova Bay Llc is 1760639785. The last update date is 2019-12-18.
Cordova Bay Llc's current location address is 10207 Indiana Ave, Lubbock, Texas. You can contact this provider via phone number 8067121110. The mailing address for Cordova Bay Llc is 10207 Indiana Ave, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cordova Bay Llc |
|---|---|
| Address | 10207 Indiana Ave, Lubbock, Texas |
| Phone Number | 8067121110 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Vahlberg Elaine Karen |
| Telephone Number | 4053294545 |
NPI Number Detail
| NPI Number | 1760639785 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2019-12-18 |
Provider Mailing Address Detail
| Address | 10207 Indiana Ave |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794234909 |
| Phone Number | 8067121110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
|
Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 677078 | TX | MEDICARE PROVIDER NUMBER | |
| 204464601 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cordova Bay Llc by the Centers for Medicare & Medicaid Services?
The Cordova Bay Llc has been issued the NPI (National Provider Identifier) 1760639785 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Cordova Bay Llc is physically located?
The Cordova Bay Llc is situated at the following address: 10207 Indiana Ave, Lubbock, TX 794234909.
What is Cordova Bay Llc's area of expertise and its corresponding taxonomy classification?
The Cordova Bay Llc's field of specialization is Home Health, and it falls under the taxonomy code 251E00000X, which categorizes healthcare providers based on their areas of practice.
When was the Cordova Bay Llc's 1760639785 issued?
The Cordova Bay Llc's 1760639785 was issued on 2008-08-20.
When was the Cordova Bay Llc's information last updated?
The Cordova Bay Llc's information was last updated on 2019-12-18.