Organization
WELLCARE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA VASQUEZ (ADMINISTRATIVE ASSISTANT)
(915) 549-5152
Entity
Organization
Contact information
Practice address
12214 CORAL GATE DR, EL PASO, TX 79936-8610
(915) 549-5152
(915) 995-6134
Mailing address
12214 CORAL GATE DR, EL PASO, TX 79936-8610
(915) 549-5152
(915) 995-6134
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11351
HOSPICE
TX
Enumeration date
03/04/2026
Last updated
03/04/2026
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