MEDICARE: PROVISION HOME CARE AGENCY LLC

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	:	1881452134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVISION HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	14264 MEADOW LK
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-5149
Country	:	US
Telephone Number	:	915-820-9623
Fax Number	:

Provider Business Practice Location Address
First Line	:	14264 MEADOW LK
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-5149
Country	:	US
Telephone Number	:	915-920-6271
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BRENDA ALICIA CERVANTES
Credential	:
Telephone Number	:	915-820-9623

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	02/16/2026

Similar Medicare Providers

1952167728 — MRS. JAYNENE SMITH
Practice Location Address:

14225 MEADOW LK
EL PASO, TX
79938-5149

Practice Phone: 903-749-0885
Practice Fax:

1578416012 — MELODY AVINA
Practice Location Address:

1920 N ZARAGOZA RD STE 108
EL PASO, TX
79938-4656

Practice Phone: 915-201-2505
Practice Fax:

1558974287 — MARCO A SURIANO DPT
Practice Location Address:

2301 N ZARAGOZA RD STE 210
EL PASO, TX
79938-7998

Practice Phone: 915-289-9133
Practice Fax: 833-680-2433

1467061010 — MRS. CORINA DORIS FRANCK LPC
Practice Location Address:

14915 PEBBLE HILLS BLVD
EL PASO, TX
79938-2846

Practice Phone: 915-240-9501
Practice Fax:

1760290456 — MRS. GLORIA MARIE LARES
Practice Location Address:

2409 TIERRA MURCIA ST
EL PASO, TX
79938-2386

Practice Phone: 915-306-1350
Practice Fax:

1114878774 — JOEMARYS ALEXANDRA PIZARRO ACOSTA
Practice Location Address:

12280 TIERRA AZTECA DR
EL PASO, TX
79938-4802

Practice Phone: 785-317-3541
Practice Fax:

Directions to “PROVISION HOME CARE AGENCY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.