MEDICARE: VALOR PERSONAL ASSISTANCE SERVICE, 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	251E00000X	Home Health Agency	012086	TX
2	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1649421561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALOR PERSONAL ASSISTANCE SERVICE, INC.

Provider Business Mailing Address
First Line	:	1014 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5441
Country	:	US
Telephone Number	:	915-541-0033
Fax Number	:	915-541-0034

Provider Business Practice Location Address
First Line	:	1014 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5441
Country	:	US
Telephone Number	:	915-541-0033
Fax Number	:	915-541-0034

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. VIRGINIA GONZALEZ
Credential	:
Telephone Number	:	915-541-0033

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	04/12/2019

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