Provider Demographics
NPI:1588860357
Name:AYUDA HOME HEALTH CARE SERVICES, LLC.
Entity Type:Organization
Organization Name:AYUDA HOME HEALTH CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWING
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-231-9494
Mailing Address - Street 1:1515 CESSNA DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-2555
Mailing Address - Country:US
Mailing Address - Phone:915-231-9494
Mailing Address - Fax:915-231-9489
Practice Address - Street 1:1515 CESSNA DR
Practice Address - Street 2:SUITE 201
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-2555
Practice Address - Country:US
Practice Address - Phone:915-231-9494
Practice Address - Fax:915-231-9489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011384251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747047Medicare PIN