Provider Demographics
NPI:1437108370
Name:CRN INC.
Entity Type:Organization
Organization Name:CRN INC.
Other - Org Name:ALPHA HOME NURSES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRARTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:REYES
Authorized Official - Last Name:NAIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-533-7100
Mailing Address - Street 1:3737 N MESA ST STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1800
Mailing Address - Country:US
Mailing Address - Phone:915-533-7100
Mailing Address - Fax:915-533-7110
Practice Address - Street 1:3737 N MESA ST STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2511
Practice Address - Country:US
Practice Address - Phone:915-533-7100
Practice Address - Fax:915-533-7110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007987251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7627534OtherAETNA PPO
TX3430433OtherAETNA HMO
TXHH235HOtherBCBS OF TEXAS
TX154189801Medicaid
TX7627534OtherAETNA PPO