BLACK GALLO ENTERPRICES LLC


Address: 4412 Harmony Ln, Edinburg, TX 78542-6744
Phone: 9563306505

BLACK GALLO ENTERPRICES LLC (NPI# 1275175747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275175747
Entity Type Organization
Organization Name BLACK GALLO ENTERPRICES LLC
Practice Address 4412 Harmony Ln
Edinburg
TX 78542-6744
Practice Telephone 9563306505
Mailing Telephone 9563306505
Enumeration Date 2019-10-16
Last Update Date 2019-10-16
Authorized Official Name GINGER ISABEL CALVILLO (OWNER)
Authorized Official Telephone 9563306505
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Office Location

Street Address 4412 HARMONY LN
City EDINBURG
State TX
Zip Code 78542-6744

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy 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, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City EDINBURG
Zip Code 78542

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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