Provider Demographics
NPI:1942722244
Name:ROTE, CLAUDIA (CNA)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:ROTE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 BACKUS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-6605
Mailing Address - Country:US
Mailing Address - Phone:915-443-4881
Mailing Address - Fax:
Practice Address - Street 1:1352 BACKUS ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-6605
Practice Address - Country:US
Practice Address - Phone:915-443-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLFOD16-02793253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
37-1440368OtherEMPLOYER IDENTIFICATION NUMBER FROM IRS