Provider Demographics
NPI:1912201179
Name:1ST CARE FOSTER HOME
Entity Type:Organization
Organization Name:1ST CARE FOSTER HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CNA
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-603-9455
Mailing Address - Street 1:352 BENSWAIN
Mailing Address - Street 2:352 BENSWAIN
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915
Mailing Address - Country:US
Mailing Address - Phone:915-603-9455
Mailing Address - Fax:
Practice Address - Street 1:352 BENSWAIN
Practice Address - Street 2:352 BENSWAIN
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915
Practice Address - Country:US
Practice Address - Phone:915-603-9455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility