MEDICARE: HILLRISE HOME MANAGEMENT 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558599944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLRISE HOME MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	10662 VISTA DEL SOL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4520
Country	:	US
Telephone Number	:	915-855-9333
Fax Number	:	915-855-9213

Provider Business Practice Location Address
First Line	:	10662 VISTA DEL SOL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4520
Country	:	US
Telephone Number	:	915-855-9333
Fax Number	:	915-855-9213

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. PATRICIA ANDREA RUFFIER
Credential	:
Telephone Number	:	915-855-9333

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	11/01/2021

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