EL PASO V ENTERPRISES, LLC (NPI# 1699256982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699256982 |
| Entity Type | Organization |
| Organization Name | EL PASO V ENTERPRISES, LLC |
| Other Organization Name | PEBBLE CREEK NURSING CENTER |
| Practice Address |
11608 Scott Simpson Dr El Paso TX 79936-6210 |
| Mailing Address |
4150 International Plz Ste 600 Fort Worth TX 76109-4831 |
| Practice Telephone | 9158570071 |
| Practice Fax Number | 9158570118 |
| Mailing Telephone | 9158570071 |
| Mailing Fax Number | 9158570118 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173488959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pebble Creek Nursing Center | Doing Business As Name - Organization |
| Street Address |
11608 SCOTT SIMPSON DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419323 | Penan Partnership | Skilled Nursing Facility | 11608 Scott Simpson Dr, El Paso, TX 79936-6210 | 2005-07-01 |
| 1770887838 | Nancy Ann Pena | Social Worker | 11608 Scott Simpson Dr, El Paso, TX 79936 | 2011-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1215493416 | Patriot Rehabilitation and Wellness Center LLC | Skilled Nursing Facility | 11490 Gateway North Blvd., El Paso, TX 79934 | 2019-02-13 |
| 1518478031 | Penan Retirement Centers Limited Partnership | Skilled Nursing Facility | 221 Bartlett Dr, El Paso, TX 79912-1607 | 2017-10-24 |
| 1821536319 | Vibralife of El Paso LLC | Skilled Nursing Facility | 3421 Joe Battle Blvd, El Paso, TX 79938-2638 | 2017-02-06 |
| 1376927418 | Gruenepointe 1 El Paso, LLC | Skilled Nursing Facility | 10350 Montana Ave, El Paso, TX 79925-1602 | 2015-07-18 |
| 1306249834 | Ector County Hospital District | Skilled Nursing Facility | 1599 Lomaland Drive, El Paso, TX 79935 | 2014-09-29 |
| 1497158927 | Ector County Hospital District | Skilled Nursing Facility | 11525 Vista Del Sol Drive, El Paso, TX 79936 | 2014-09-29 |
| 1033518535 | St Giles Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 950 Camino Del Rey, El Paso, TX 79927-4288 | 2014-08-20 |
| 1356788897 | St Teresa Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 10350 Montana Avenue, El Paso, TX 79925-1602 | 2013-05-23 |
| Find all providers in EL PASO | ||||
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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.