Provider Demographics
NPI:1871743948
Name:DESERT VIEW FOSTER HOME
Entity type:Organization
Organization Name:DESERT VIEW FOSTER HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:915-241-6806
Mailing Address - Street 1:11660 KRISTY WEAVER DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0815
Mailing Address - Country:US
Mailing Address - Phone:915-241-6806
Mailing Address - Fax:915-590-7359
Practice Address - Street 1:11660 KRISTY WEAVER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0815
Practice Address - Country:US
Practice Address - Phone:915-241-6806
Practice Address - Fax:915-231-6682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2015-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home