Provider Demographics
NPI:1780632075
Name:EL PASO COMMUNITY HOME HEALTH, INC.
Entity Type:Organization
Organization Name:EL PASO COMMUNITY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:ELVIRA
Authorized Official - Last Name:VILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-591-6700
Mailing Address - Street 1:6070 GATEWAY BLVD E
Mailing Address - Street 2:STE. 312
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2019
Mailing Address - Country:US
Mailing Address - Phone:915-591-6700
Mailing Address - Fax:915-591-6706
Practice Address - Street 1:6070 GATEWAY BLVD E
Practice Address - Street 2:STE. 312
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2019
Practice Address - Country:US
Practice Address - Phone:915-591-6700
Practice Address - Fax:915-591-6706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010080251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010080OtherDEPT OF AGING AND DISABIL
TX679519Medicare Oscar/Certification
TX010080OtherDEPT OF AGING AND DISABIL