Provider Demographics
NPI:1598965329
Name:EL PASO HELPING HANDS, LLC
Entity Type:Organization
Organization Name:EL PASO HELPING HANDS, LLC
Other - Org Name:FOOTPRINTS HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:CERVERA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MBA/HCM
Authorized Official - Phone:915-351-0114
Mailing Address - Street 1:611 N VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5335
Mailing Address - Country:US
Mailing Address - Phone:915-351-0114
Mailing Address - Fax:915-351-6629
Practice Address - Street 1:613 N VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5319
Practice Address - Country:US
Practice Address - Phone:915-351-0114
Practice Address - Fax:915-351-6629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284962201Medicaid
TX1-28496220Medicaid