Provider Demographics
NPI:1740781707
Name:GA HOSPICE OF EL PASO, LLC
Entity Type:Organization
Organization Name:GA HOSPICE OF EL PASO, LLC
Other - Org Name:GUARDIAN ANGEL HOSPICE OF EL PASO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:IKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-594-1116
Mailing Address - Street 1:1537 N ZARAGOZA RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-8095
Mailing Address - Country:US
Mailing Address - Phone:915-594-1116
Mailing Address - Fax:915-849-7825
Practice Address - Street 1:1537 N ZARAGOZA RD STE 2A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-8095
Practice Address - Country:US
Practice Address - Phone:915-594-1116
Practice Address - Fax:915-849-7825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based