Organization Active NPI

Care Quality of El Paso, LLC

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1639190804
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008587 Issued in TX
Legal business name
CARE QUALITY OF EL PASO, LLC
Practice address
11809 Clara Barton Dr
El Paso, TX 79936-5747
Phone
(915) 598-8602
Fax
(915) 598-5493
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Claudia A Delfin, LVN
Title
Administrator
Phone
(915) 598-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008587 TX Primary

Addresses

Primary practice location

11809 Clara Barton Dr
El Paso, TX 79936-5747

Mailing address

11809 Clara Barton Dr
El Paso, TX 79936-5747
Phone (915) 598-8602

Other identifiers 2

IdentifierTypeStateIssuer
162879401MedicaidTX
21282OtherTXZIRMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030912000047 TX Part A Provider - Home Health Agency 6709797988 Practice locations: El Paso, TX

Home health agency certification: CCN 679378

Legal name
CARE QUALITY OF EL PASO, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 19, 2003
Last certification
Sep 28, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 13, 2003 in TX
Enrollment address
11809 Clara Barton Dr
El Paso, TX 79936-5747

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care Quality of El Paso LLCCCN 679378 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 19, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1014765Care Quality of El Paso LLC11809 Clara Barton, El Paso, TX 79936Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Locations

1155 Westmoreland Dr
Ste 223
El Paso, TX 79925
Phone (915) 637-9524

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ismael Garcia Individual 5% Or Greater Direct Ownership Interest Jun 13, 2003 50%
Corporate Director Mar 30, 2015
Maria Isela Delara Individual 5% Or Greater Direct Ownership Interest Jun 13, 2003 50%
Corporate Director Mar 30, 2015 100%
W-2 Managing Employee Jun 13, 2003
Claudia Chavez Individual Operational/Managerial Control Feb 14, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1639190804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 CLARA BARTON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365747",
            "telephone_number": "915-598-8602",
            "fax_number": "915-598-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 CLARA BARTON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365747",
            "telephone_number": "915-598-8602",
            "fax_number": "915-598-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE QUALITY OF EL PASO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "DELFIN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-598-8602",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162879401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ZIRMED",
            "identifier": "21282",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.