Provider Demographics
NPI:1639190804
Name:CARE QUALITY OF EL PASO, LLC
Entity Type:Organization
Organization Name:CARE QUALITY OF EL PASO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:915-598-8602
Mailing Address - Street 1:11809 CLARA BARTON DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5747
Mailing Address - Country:US
Mailing Address - Phone:915-598-8602
Mailing Address - Fax:915-598-5493
Practice Address - Street 1:11809 CLARA BARTON DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5747
Practice Address - Country:US
Practice Address - Phone:915-598-8602
Practice Address - Fax:915-598-5493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008587251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162879401Medicaid
TX21282OtherZIRMED
TX162879401Medicaid
=========OtherTRICARE
=========OtherTRICARE
9999645OtherUNIVERSAL HEALTH CARE
=========OtherHUMANA
9999645OtherUNIVERSAL HEALTH CARE
=========OtherHUMANA