Provider Demographics
NPI:1912069584
Name:CUIDADO CASERO HOME HEALTH OF EL PASO INC
Entity Type:Organization
Organization Name:CUIDADO CASERO HOME HEALTH OF EL PASO INC
Other - Org Name:CUIDADO CASERO HOME HEALTH EL PASO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-310-1100
Mailing Address - Street 1:1617 E MISSOURI
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902
Mailing Address - Country:US
Mailing Address - Phone:817-695-6720
Mailing Address - Fax:817-652-0453
Practice Address - Street 1:1617 E MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5616
Practice Address - Country:US
Practice Address - Phone:915-772-7177
Practice Address - Fax:915-772-6447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001003344Medicaid