Provider Demographics
NPI:1790013118
Name:JUST CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:JUST CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIR PERSON
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:LILIA
Authorized Official - Last Name:MORADO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,FNP-C
Authorized Official - Phone:915-591-2801
Mailing Address - Street 1:6320 EDGEMERE BLVD # 22
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3517
Mailing Address - Country:US
Mailing Address - Phone:915-591-2800
Mailing Address - Fax:915-591-2801
Practice Address - Street 1:6320 EDGEMERE BLVD # 22
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3517
Practice Address - Country:US
Practice Address - Phone:915-591-2800
Practice Address - Fax:915-591-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX218897101Medicaid
TX74-7596Medicare UPIN