Provider Demographics
NPI:1700254190
Name:CARING HEARTS OF EL PASO HOME CARE, LLC
Entity Type:Organization
Organization Name:CARING HEARTS OF EL PASO HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-329-2649
Mailing Address - Street 1:4997 BALLINGER DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-1137
Mailing Address - Country:US
Mailing Address - Phone:915-307-5044
Mailing Address - Fax:915-307-3927
Practice Address - Street 1:6501 BOEING DR STE H5
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-1085
Practice Address - Country:US
Practice Address - Phone:915-307-5044
Practice Address - Fax:915-307-3927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001028536Medicaid