MEDICARE: EMMANUEL PERSONAL ASSISTANCE SERVICES 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1770384323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMMANUEL PERSONAL ASSISTANCE SERVICES LLC

Provider Business Mailing Address
First Line	:	3815 BUCKNER ST STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1333
Country	:	US
Telephone Number	:	915-781-5421
Fax Number	:

Provider Business Practice Location Address
First Line	:	3815 BUCKNER ST STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1333
Country	:	US
Telephone Number	:	915-781-5421
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIA A. SEGOVIA
Credential	:
Telephone Number	:	915-702-4788

Provider Enumeration Date	:	03/20/2025
Last Update Date	:	03/20/2025

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