MEDICARE: PROVEDORAS CASERAS DE EL PASO 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	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1285521872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVEDORAS CASERAS DE EL PASO INC.

Provider Business Mailing Address
First Line	:	1512 E YANDELL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5630
Country	:	US
Telephone Number	:	915-304-8561
Fax Number	:	915-500-1060

Provider Business Practice Location Address
First Line	:	1512 E YANDELL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5630
Country	:	US
Telephone Number	:	915-304-8561
Fax Number	:	915-500-1060

Authorized Official
Title or Position	:	CEO
Name	:	PATRICIA A RUFFIER
Credential	:
Telephone Number	:	915-304-8561

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	02/03/2026

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Directions to “PROVEDORAS CASERAS DE EL PASO INC. ” Practice Location

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