GOLDEN AGE SENIOR CARE OF CIELO VISTA, LLC (NPI# 1598018921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598018921 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE SENIOR CARE OF CIELO VISTA, LLC |
| Other Organization Name | SUNRIDGE AT CIELO VISTA |
| Practice Address |
7949 Sunmount Dr El Paso TX 79925-4892 |
| Mailing Address |
125 S Wacker Dr Ste 1800 Chicago IL 60606-4313 |
| Practice Telephone | 9157724036 |
| Practice Fax Number | 9157722191 |
| Mailing Telephone | 3123571611 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | JEFFREY A DAVIS (MANAGING MEMBER) |
| Authorized Official Telephone | 3125217600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 133882 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| SunRidge at Cielo Vista | Doing Business As Name - Organization |
| Street Address |
7949 SUNMOUNT DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-4892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366551566 | The Weston Group, Inc. | Physical Therapist | 7949 Sunmount Dr, El Paso, TX 79925-4892 | 2006-08-30 |
| 1942515028 | Marisa Laura Leon | Speech-Language Pathologist | 7949 Sunmount Dr, El Paso, TX 79925-4892 | 2010-08-12 |
| 1427212331 | Donald Muniz | Physical Therapy Assistant | 7949 Sunmount Dr, El Paso, TX 79925-4892 | 2008-07-10 |
| 1972710788 | Esc Ngh, L.p. | Alzheimer Center (Dementia Center) | 7949 Sunmount Dr, El Paso, TX 79925-4892 | 2007-05-17 |
| 1548385750 | Olga Vazquez | Physical Therapy Assistant | 7949 Sunmount Dr, El Paso, TX 79925-4892 | 2007-03-20 |
| 1457481574 | Renee L Barrett | Physical Therapy Assistant | 7949 Sunmount Dr, El Paso, TX 79925-4892 | 2007-03-07 |
| 1437288487 | Carolyn M Pena | Occupational Therapist | 7949 Sunmount Dr, El Paso, TX 79925-4892 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| 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 |
| 1508307265 | Minerva Sustaita | Assisted Living Facility | 1845 Tommy Aaron Dr, El Paso, TX 79936 | 2017-03-14 |
| 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 |
| 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.