Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2267 TRAWOOD DR STE G3
EL PASO TX
79935-3027
US

IV. Provider business mailing address

2267 TRAWOOD DR STE G3
EL PASO TX
79935-3027
US

V. Phone/Fax

Practice location:
  • Phone: 915-307-9289
  • Fax: 915-975-8168
Mailing address:
  • Phone: 915-307-9289
  • Fax: 915-975-8168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. GEORGINA G BARRERA
Title or Position: PARTNER
Credential: SLP MS CCP
Phone: 915-307-9289