Provider Demographics
NPI:1790175594
Name:ACASA PERSONAL IN-HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:ACASA PERSONAL IN-HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-383-3462
Mailing Address - Street 1:4215 FRED WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-6203
Mailing Address - Country:US
Mailing Address - Phone:915-383-3462
Mailing Address - Fax:915-975-8184
Practice Address - Street 1:4215 FRED WILSON AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-6203
Practice Address - Country:US
Practice Address - Phone:915-383-3462
Practice Address - Fax:915-975-8184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-31
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251E00000X, 251S00000X, 310400000X, 3747P1801X, 385H00000X, 385HR2050X
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp