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NPI Code Detail

MEDICARE: PASOS HOME HEALTH INC.

MEDICARE: PASOS HOME HEALTH 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
1251E00000XHome Health Agency3113NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851363139
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASOS HOME HEALTH INC.
Provider Business Mailing Address
First Line : 205 W BOUTZ RD
Second Line : BLDG 8 STE 2
City : LAS CRUCES
State : NM
Zip : 88005-3262
Country : US
Telephone Number : 505-526-5296
Fax Number : 505-526-5297
Provider Business Practice Location Address
First Line : 6028 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2024
Country : US
Telephone Number : 915-781-2901
Fax Number : 915-772-1424
Authorized Official
Title or Position : COO
Name : MRS. MERCY OLOWE
Credential :
Telephone Number : 915-781-2901
Provider Enumeration Date : 02/02/2006
Last Update Date : 08/22/2020

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