SU CASA ADULT FOSTER HOME (NPI# 1841738580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841738580 |
| Entity Type | Organization |
| Organization Name | SU CASA ADULT FOSTER HOME |
| Other Organization Name | SU CASA ADULT CARE SUPPLY |
| Practice Address |
12462 Paseo De Arco Ct El Paso TX 79928-5669 |
| Practice Telephone | 9152083163 |
| Practice Fax Number | 9155035825 |
| Mailing Telephone | 9152083163 |
| Mailing Fax Number | 9155035825 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | NORMA L MARQUEZ (NURSING DIRECTOR) |
| Authorized Official Telephone | 9155035107 |
| Authorized Official Credential | LVN |
| Is Organization Subpart | Y |
| Parent Organization Name | SU CASA ADULT FOSTER HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 225232 | TX | Nursing & Custodial Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
225232 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Su Casa Adult Care Supply | Other Name - Individual/Organization |
| Su Casa Adult Transportation Service | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12005 Crown Royal Dr, El Paso, TX 799360620 | 9152083163 | |
| 12157 Alex Guerrero Cir, El Paso, TX 799360921 | 9152083163 | 9155035825 |
| 12157 Frank Cordova Cir, El Paso, TX 799360923 | 9152083163 | 9155035825 |
| Street Address |
12462 PASEO DE ARCO CT |
| City | EL PASO |
| State | TX |
| Zip Code | 79928-5669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394557 | Nl Marquez Enterprise Inc. | Licensed Vocational Nurse | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718442 | Josephine Borges Colon | Occupational Therapy Assistant | 12366 Northhumberg Drive, El Paso, TX 79928 | 2020-07-30 |
| 1619596566 | Paseo Nuevo Urgent Care Pllc | Clinic/Center | 12350 Paseo Nuevo, El Paso, TX 79928 | 2020-04-10 |
| 1518527480 | Martha Irma Lafarelle | Acupuncturist | 14335 Desert Sunset Drive, Horizon City, TX 79928 | 2019-06-13 |
| 1932766409 | United Orthodontics of North East El Paso Pllc | Dentist | 13791 Horizon Blvd. Ste. B4, Horizon City, TX 79928 | 2019-05-21 |
| 1164925046 | Project Vida Health Center | Clinic/Center | 13600 Ryderwood, El Paso, TX 79928 | 2018-03-16 |
| 1043712995 | Bianca Denise Martinez | Registered Nurse | 713 Villa Seca, Horizon, TX 79928 | 2018-03-07 |
| 1285147173 | Project Vida Health Center | Clinic/Center | 13000 Emerald Pass Ave, El Paso, TX 79928 | 2017-11-14 |
| 1023536109 | Cna Medical Care Pllc | Pediatrics | 12360 Montwood Drive, Ste B, El Paso, TX 79928 | 2017-09-08 |
| 1902324551 | Leading Edge Emergency Physicians, Inc | Emergency Medicine | 13600 Horizon Blvd Suite 100, Horizon City, TX 79928 | 2017-09-05 |
| 1992221394 | Sisters of Charity Home Health | Home Health | 14006 Tuckey, El Paso, TX 79928 | 2017-08-17 |
| Find all providers in zip 79928 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538483 | Alejandra Melendez | Custodial Care Facility | 160 Santa Paula Dr, El Paso, TX 79927-1466 | 2020-11-04 |
| 1154944981 | Del Rio Home LLC | Custodial Care Facility | 12246 Via Del Rio, El Paso, TX 79936-6474 | 2020-05-27 |
| 1033698055 | Casa Shalom | Custodial Care Facility | 6519 Mohawk Ave, El Paso, TX 79925-2112 | 2018-08-09 |
| 1942795075 | Sara Camacho | Custodial Care Facility | 3504 Beryl Ln, El Paso, TX 79904-1702 | 2018-07-01 |
| 1912492638 | Martha I Vegavaldez | Custodial Care Facility | 10808 Tom Kite Ct, El Paso, TX 79935-3720 | 2018-06-25 |
| 1356842421 | Corina Munoz | Custodial Care Facility | 2309 Sea Palm Dr, El Paso, TX 79936-3019 | 2018-02-23 |
| 1376061432 | Maria Teresa Navarrete | Custodial Care Facility | 6217 Monarch Dr, El Paso, TX 79912-4924 | 2017-09-08 |
| 1043734668 | Yocelyn Yulimar Raymond | Custodial Care Facility | 6944 Ramada Drive, El Paso, TX 79912 | 2017-07-26 |
| 1316477409 | Gabriela Barraza | Custodial Care Facility | 12249 Via Del Rio, El Paso, TX 79936-6474 | 2017-06-12 |
| 1598294985 | Blanca Luz Anchondo | Custodial Care Facility | 9009 Turrentine Dr, El Paso, TX 79925-5931 | 2017-06-08 |
| Find all providers in EL PASO | ||||
Please comment or provide details below to improve the information on SU CASA ADULT FOSTER HOME.
| 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.