MEDICARE: EL-PASSION HOME HEALTH AGENCY 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	3747A0650X	Attendant Care Provider
3	385H00000X	Respite Care
4	385HR2065X	Child Physical Disabilities Respite Care
5	251E00000X	Home Health Agency	010923	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020474	OTHER	TX	LICENSE
2	010923	OTHER	TX	LICENSE

General Provider Information

NPI Number	:	1558579862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL-PASSION HOME HEALTH AGENCY INC

Provider Business Mailing Address
First Line	:	PO BOX 180695
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76096-0695
Country	:	US
Telephone Number	:	469-984-3897
Fax Number	:	877-559-5966

Provider Business Practice Location Address
First Line	:	1521 N COOPER ST STE 215
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5522
Country	:	US
Telephone Number	:	469-984-3897
Fax Number	:	877-559-5966

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARVIN HORNER
Credential	:
Telephone Number	:	469-984-3897

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	03/04/2026

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