Provider Demographics
NPI:1598400996
Name:EL PASO CARE SERVICES LLC
Entity Type:Organization
Organization Name:EL PASO CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ENOW
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOKOSOK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:763-568-6710
Mailing Address - Street 1:2416 TIERRA PRIMERA PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2390
Mailing Address - Country:US
Mailing Address - Phone:763-568-6710
Mailing Address - Fax:
Practice Address - Street 1:2416 TIERRA PRIMERA PL
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2390
Practice Address - Country:US
Practice Address - Phone:763-568-6710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty