Provider Demographics
NPI:1467030130
Name:CIMA HOSPICE OF EL PASO, L.P.
Entity Type:Organization
Organization Name:CIMA HOSPICE OF EL PASO, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF REGULATORY
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-537-7612
Mailing Address - Street 1:14295 MIDWAY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3678
Mailing Address - Country:US
Mailing Address - Phone:903-537-8656
Mailing Address - Fax:903-537-8420
Practice Address - Street 1:6600 MONTANA AVE STE G
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-2149
Practice Address - Country:US
Practice Address - Phone:915-778-1222
Practice Address - Fax:915-778-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001014920Medicaid
TX010500OtherHCSSA LICENSE