Provider Demographics
NPI:1164737292
Name:AFFINITY PERSONAL ASSISTANCE SERVICES
Entity Type:Organization
Organization Name:AFFINITY PERSONAL ASSISTANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TELLEZ-GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-490-5586
Mailing Address - Street 1:4171 N MESA ST STE B202
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1431
Mailing Address - Country:US
Mailing Address - Phone:915-603-0060
Mailing Address - Fax:
Practice Address - Street 1:4171 N MESA ST STE B202
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1431
Practice Address - Country:US
Practice Address - Phone:915-603-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty