Provider Demographics
NPI:1568469989
Name:EL PASO NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:EL PASO NURSING SERVICES, INC.
Other - Org Name:NURSING SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR, DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-546-2311
Mailing Address - Street 1:1800 E CLIFF DR
Mailing Address - Street 2:STE. B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5184
Mailing Address - Country:US
Mailing Address - Phone:915-546-2311
Mailing Address - Fax:915-534-7874
Practice Address - Street 1:1800 E CLIFF DR
Practice Address - Street 2:STE. B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5184
Practice Address - Country:US
Practice Address - Phone:915-546-2311
Practice Address - Fax:915-534-7874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXHH008090251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679034Medicare ID - Type Unspecified