Provider Demographics
NPI:1487728812
Name:ALIVIO EP HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:ALIVIO EP HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:ERNEST
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-440-0641
Mailing Address - Street 1:736 SCOTT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-4106
Mailing Address - Country:US
Mailing Address - Phone:915-440-0641
Mailing Address - Fax:915-440-0642
Practice Address - Street 1:736 SCOTT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-4106
Practice Address - Country:US
Practice Address - Phone:915-440-0641
Practice Address - Fax:915-440-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012215251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health