MENTIS NEURO EL PASO, LLC (NPI# 1013112549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013112549 |
| Entity Type | Organization |
| Organization Name | MENTIS NEURO EL PASO, LLC |
| Other Organization Name | MENTIS NEURO HEALTH |
| Practice Address |
4360 Doniphan Drive El Paso TX 79922 |
| Mailing Address |
6565 West Loop South Ste. 410 Bellaire TX 77401-3519 |
| Practice Telephone | 9153514441 |
| Mailing Telephone | 7138204200 |
| Mailing Fax Number | 7138204220 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | MARK L. QUIGLEY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7138648996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | HH005B | 01 |
| Other Name | Type Code |
|---|---|
| Mentis Neuro Health | Doing Business As Name - Organization |
| Street Address |
4360 DONIPHAN DRIVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220634 | Chad Condon Moltane | Counselor | 5048 Love Road, El Paso, TX 79922 | 2019-08-15 |
| 1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
| 1164895462 | Jana Lynn Mccallister | Nurse Practitioner | 3801c Constitution, Suite 100, El Paso, TX 79922 | 2015-11-09 |
| 1689072233 | Smile Center for Kids I Pllc | Clinic/Center | 1050 Sundland Park Drive, Suite 200 B, El Paso, TX 79922 | 2014-12-15 |
| 1487098307 | Griselda Murguia | Speech-Language Pathologist | 716 Wakefield Ct., El Paso, TX 79922 | 2013-04-22 |
| 1821135997 | Alfredo Cedillo | Surgery | 769 Woodland Ave, El Paso, TX 79922 | 2007-01-30 |
| 1952478232 | Luis A. Todd | Pediatrics | 4371 Boy Scout Ln, El Paso, TX 79922 | 2006-11-29 |
| 1023261856 | Jesus Fernando Escarzaga | Radiology Practitioner Assistant | 4930 Osborne, Suite H, El Paso, TX 79922 | 2008-10-24 |
| 1922588052 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Osborne Dr Ste 100, El Paso, TX 79922-1035 | 2018-08-17 |
| 1194781864 | Guillermina Solis | Nurse Practitioner | 4930 Osborne Dr, Suitea, El Paso, TX 79922-1041 | 2006-04-21 |
| Find all providers in zip 79922 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700239118 | Casa De Bellamie, LLC | Residential Treatment Facility, Physical Disabilities | 7235 N Loop Dr, El Paso, TX 79915-2412 | 2016-07-20 |
| 1952643918 | Rudy's Adult Foster Home L.L.C. | Residential Treatment Facility, Physical Disabilities | 13032 Kaitlyn Reece, El Paso, TX 79938-4318 | 2013-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976973 | Caremeridian, LLC | Residential Treatment Facility, Physical Disabilities | 2301 W Campbell Rd, Garland, TX 75044-2846 | 2019-11-18 |
| 1376192823 | Jackie D Henderson | Residential Treatment Facility, Physical Disabilities | 7041 Hedgebrook Dr, Dallas, TX 75249 | 2019-09-07 |
| 1992272082 | Harmony Care Center | Residential Treatment Facility, Physical Disabilities | 4953 E Ridge Creek Dr, Houston, TX 77053-4638 | 2018-10-27 |
| 1558867747 | Maison De Spiritus, Inc. | Residential Treatment Facility, Physical Disabilities | 4122 Mainer St, Houston, TX 77021-5803 | 2018-04-05 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1356857213 | Cns - Houston, LLC | Residential Treatment Facility, Physical Disabilities | 253 W Medical Center Blvd Ste 300, Webster, TX 77598-4213 | 2017-12-14 |
| 1811433329 | Tasha Toliver | Residential Treatment Facility, Physical Disabilities | 2023 Laura St, Caddo Mills, TX 75135-7502 | 2017-01-09 |
| 1982153383 | Beacon Home Healthcare LLC | Residential Treatment Facility, Physical Disabilities | 2000 Summercrest Cv, Round Rock, TX 78681-1097 | 2016-09-26 |
| 1023464245 | Emedtech Equipment and Supply Company | Residential Treatment Facility, Physical Disabilities | 5220 E Parkway Dr, Beaumont, TX 77705-6039 | 2016-05-05 |
| 1811351661 | Tanika Mott | Residential Treatment Facility, Physical Disabilities | 4442 Algernon Dr, Spring, TX 77373-6804 | 2016-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.