Provider Demographics
NPI:1073575619
Name:CLOUDVIEW HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:CLOUDVIEW HOME HEALTH AGENCY, INC.
Other - Org Name:CLOUDVIEW HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUERTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-564-0323
Mailing Address - Street 1:5950 ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-4737
Mailing Address - Country:US
Mailing Address - Phone:915-564-0323
Mailing Address - Fax:915-564-0865
Practice Address - Street 1:5950 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-4737
Practice Address - Country:US
Practice Address - Phone:915-564-0323
Practice Address - Fax:915-564-0865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009794251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167280001Medicaid
TX453140Medicare ID - Type UnspecifiedHOME HEALTH AGENCY