Provider Demographics
NPI:1285521872
Name:PROVEDORAS CASERAS DE EL PASO INC.
Entity type:Organization
Organization Name:PROVEDORAS CASERAS DE EL PASO INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUFFIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-304-8561
Mailing Address - Street 1:10662 VISTA DEL SOL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-4520
Mailing Address - Country:US
Mailing Address - Phone:915-929-4358
Mailing Address - Fax:
Practice Address - Street 1:4819 VISTA DEL MONTE ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79922-2125
Practice Address - Country:US
Practice Address - Phone:915-929-4358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty