Provider Demographics
NPI:1235760349
Name:A PLUS PERSONAL CARE
Entity Type:Organization
Organization Name:A PLUS PERSONAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:THIBODEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:508-736-4851
Mailing Address - Street 1:12509 SUN TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4641
Mailing Address - Country:US
Mailing Address - Phone:508-736-4851
Mailing Address - Fax:
Practice Address - Street 1:12509 SUN TERRACE AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-4641
Practice Address - Country:US
Practice Address - Phone:508-736-4851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care