Provider Demographics
NPI:1053663195
Name:ANGELES DE EL PASO HOME HEALTH INC
Entity Type:Organization
Organization Name:ANGELES DE EL PASO HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-613-6808
Mailing Address - Street 1:312 S. COPIA
Mailing Address - Street 2:STE. A.
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905
Mailing Address - Country:US
Mailing Address - Phone:915-613-6808
Mailing Address - Fax:915-881-8651
Practice Address - Street 1:312 S. COPIA
Practice Address - Street 2:STE. A.
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905
Practice Address - Country:US
Practice Address - Phone:915-613-6808
Practice Address - Fax:915-881-8651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-14
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health