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NPI Code Detail

MEDICARE: CUIDADO CASERO HOME HEALTH OF EL PASO, INC

MEDICARE: CUIDADO CASERO HOME HEALTH OF 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
1251G00000XCommunity Based Hospice Care Agency005897TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1005897OTHERTXSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1760678775
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUIDADO CASERO HOME HEALTH OF EL PASO, INC
Provider Business Mailing Address
First Line : 1110 N CARROLL AVE
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-5306
Country : US
Telephone Number : 817-310-1100
Fax Number : 817-310-1197
Provider Business Practice Location Address
First Line : 1617 E MISSOURI AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-5616
Country : US
Telephone Number : 915-772-7177
Fax Number : 915-772-6447
Authorized Official
Title or Position : CEO
Name : DR. CARMEN SANTIAGO
Credential : DRPH
Telephone Number : 817-310-1100
Provider Enumeration Date : 09/24/2007
Last Update Date : 06/11/2020

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Directions to “CUIDADO CASERO HOME HEALTH OF EL PASO, INC ” Practice Location

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