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 1760639785 and holds a License No. (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
Provider Profile Details
NPI Number
1760639785
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
08/20/2008
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 677078 | 01 | TX | MEDICARE PROVIDER NUMBER |
| 204464601 | 05 | TX |
Provider Business Practice Location Address Details
Address
10207 Indiana Ave
City
State
Zip
79423-4909
Phone Number
806-712-1110
Fax Number
Provider Business Mailing Address Details
Address
10207 Indiana Ave
City
State
Zip
79423-4909
Phone Number
806-712-1110
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
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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