MEDICARE: CNA NURSING SERVICES INC.

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	251E00000X	Home Health Agency	NA08585594	TX

General Provider Information

NPI Number	:	1306114129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CNA NURSING SERVICES INC.

Provider Business Mailing Address
First Line	:	304 RIO VERDE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3012
Country	:	US
Telephone Number	:	915-240-7073
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 RIO VERDE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3012
Country	:	US
Telephone Number	:	915-240-7073
Fax Number	:

Authorized Official
Title or Position	:	ADMINSTRATOR, DIRECTOR
Name	:	MR. HIPOLITO ISMAEL ACEVEDO
Credential	:
Telephone Number	:	915-240-7073

Provider Enumeration Date	:	12/07/2011
Last Update Date	:	12/14/2011

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Directions to “CNA NURSING SERVICES INC. ” Practice Location

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