Provider Demographics
NPI:1053472001
Name:VISITING NURSE ASSOCIATION OF EL PASO, INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF EL PASO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-532-0888
Mailing Address - Street 1:4171 N MESA ST
Mailing Address - Street 2:BUILDING D, SUITE 500
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1433
Mailing Address - Country:US
Mailing Address - Phone:915-532-0888
Mailing Address - Fax:915-532-0224
Practice Address - Street 1:4171 N MESA ST
Practice Address - Street 2:BUILDING D, SUITE 500
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1433
Practice Address - Country:US
Practice Address - Phone:915-532-0888
Practice Address - Fax:915-532-0224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003060332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
PH0419Medicare ID - Type UnspecifiedMEDICARE IMMUNIZATIONS