Provider Demographics
NPI:1083165500
Name:NUEVO HOGAR HOME CARE PROVIDERS LLC
Entity Type:Organization
Organization Name:NUEVO HOGAR HOME CARE PROVIDERS LLC
Other - Org Name:NUEVO HOGAR HOME CARE PROVIDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-584-2429
Mailing Address - Street 1:1031 E RIO GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4656
Mailing Address - Country:US
Mailing Address - Phone:915-584-2428
Mailing Address - Fax:915-584-1114
Practice Address - Street 1:1031 E RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4656
Practice Address - Country:US
Practice Address - Phone:915-584-2428
Practice Address - Fax:915-584-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care