MINERVA SUSTAITA (NPI# 1508307265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508307265 |
Entity Type | Individual |
Full Name | MINERVA SUSTAITA |
Practice Address |
1845 Tommy Aaron Dr El Paso TX 79936 |
Mailing Address |
1845 Tommy Aaron Dr El Paso TX 79936-4219 |
Practice Telephone | 9154072359 |
Mailing Telephone | 9154072359 |
Enumeration Date | 2017-03-14 |
Last Update Date | 2018-08-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
N | 253J00000X | Foster Care Agency | Agencies |
Street Address |
1845 TOMMY AARON DR |
City | EL PASO |
State | TX |
Zip Code | 79936 |
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 | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275171522 | Gloria Romero Heinrichs | Assisted Living Facility | 10417 Persephone Dr, El Paso, TX 79924-2216 | 2019-12-17 |
1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
1407330350 | Maria Petra Aguirre | Assisted Living Facility | 3607 E Yandell Dr, El Paso, TX 79903-4410 | 2018-09-17 |
1417434994 | Villas Del Sol | Assisted Living Facility | 520 East Rd, El Paso, TX 79915-3005 | 2018-07-26 |
1376031112 | Ana Luisa Vega | Assisted Living Facility | 10628 Drillstone Dr, El Paso, TX 79925-1717 | 2018-04-26 |
1386140671 | Casa Felicitas 1 Small Assisted Living | Assisted Living Facility | 3330 E Yandell Dr, El Paso, TX 79903-4232 | 2018-04-04 |
1184164931 | The Forest Assisted Living, Inc. | Assisted Living Facility | 9355 N Loop Dr, El Paso, TX 79907-4827 | 2017-02-27 |
1104362862 | Bernardo M. Terres | Assisted Living Facility | 2218 Mermaid Dr, El Paso, TX 79936-3621 | 2017-01-18 |
1013453786 | Cecilia Jauregui Terres | Assisted Living Facility | 11651 Clear Lake Way, El Paso, TX 79936-4382 | 2017-01-18 |
1447794003 | Maria Hurd | Assisted Living Facility | 10336 Suewood Ct, El Paso, TX 79925-5517 | 2016-12-15 |
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.