MEDICARE: CHILDREN'S HOME THERAPY SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225401128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S HOME THERAPY SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	2267 TRAWOOD DR STE G3
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-3027
Country	:	US
Telephone Number	:	915-307-9289
Fax Number	:	915-975-8168

Provider Business Practice Location Address
First Line	:	2267 TRAWOOD DR STE G3
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-3027
Country	:	US
Telephone Number	:	915-307-9289
Fax Number	:	915-975-8168

Authorized Official
Title or Position	:	PARTNER
Name	:	MRS. GEORGINA G BARRERA
Credential	:	SLP MS CCP
Telephone Number	:	915-307-9289

Provider Enumeration Date	:	11/02/2015
Last Update Date	:	03/04/2020

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