Provider Demographics
NPI:1770971087
Name:CARING ANGELS RESIDENTIAL
Entity type:Organization
Organization Name:CARING ANGELS RESIDENTIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:SALAS
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:915-730-2282
Mailing Address - Street 1:10425 MACKINAW ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-2408
Mailing Address - Country:US
Mailing Address - Phone:191-573-0228
Mailing Address - Fax:
Practice Address - Street 1:10425 MACKINAW ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-2408
Practice Address - Country:US
Practice Address - Phone:191-573-0228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLHOC1400047253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency