MEDICARE: CAPROCK HOME HEALTH 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	002251	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001015842	OTHER	TX	CLASS DSA EL PASO

General Provider Information

NPI Number	:	1518144633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPROCK HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	8806 UNIVERSITY AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-3152
Country	:	US
Telephone Number	:	806-791-0077
Fax Number	:	806-748-7837

Provider Business Practice Location Address
First Line	:	11180 LA QUINTA PL
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5221
Country	:	US
Telephone Number	:	915-598-6522
Fax Number	:	915-598-7069

Authorized Official
Title or Position	:	PRESIDENT/C.E.O.
Name	:	MARTHA MORALES
Credential	:
Telephone Number	:	806-791-0777

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	10/24/2024

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