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Cordova Bay Llc
Home Health Agency in Lubbock, Texas
NPI 1144461476

Cordova Bay Llc is a Home Health Agency based in Norman, TX. Cordova Bay Llc practices in Lubbock, TX. The NPI Number for Cordova Bay Llc is 1144461476 and holds a License No. 012272 (Texas).

The current practice location address for Cordova Bay Llc is 10207 Indiana Ave, Lubbock, TX and can be reached out via phone at 806-712-1110.

Location: 10207 Indiana Ave, Lubbock, TX, 73069-3955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144461476
Provider Name
Cordova Bay Llc
Credential
Provider Entity Type
Organization
Address
10207 Indiana Ave, Lubbock, TX, 73069-3955
Phone Number
806-712-1110
Fax Number
Provider Enumeration Date
03/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
204233501 05 TX
457514 01 TX MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
10207 Indiana Ave
City
Lubbock
State
Texas
Zip
79423-4909
Phone Number
806-712-1110
Fax Number
person
Provider Business Mailing Address Details
Address
10207 Indiana Ave
City
Lubbock
State
Texas
Zip
79423-4909
Phone Number
806-712-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
012272 (Texas)
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.
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