MARTHA I VEGAVALDEZ (NPI# 1912492638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912492638 |
| Entity Type | Individual |
| Full Name | MARTHA I VEGAVALDEZ |
| Practice Address |
10808 Tom Kite Ct El Paso TX 79935-3720 |
| Practice Telephone | 9152565076 |
| Mailing Telephone | 9152565076 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
LBHM18-00003 | TX | Nursing & Custodial Care Facilities |
| Street Address |
10808 TOM KITE CT |
| City | EL PASO |
| State | TX |
| Zip Code | 79935-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
| 1306249834 | Ector County Hospital District | Skilled Nursing Facility | 1599 Lomaland Drive, El Paso, TX 79935 | 2014-09-29 |
| 1164831079 | Elizabeth Espinoza | Pharmacist | 2112 Trawood, El Paso, TX 79935 | 2014-08-05 |
| 1396151759 | The Lasik Vision Institute LLC | Clinic/Center | 10961 Gateway, Suite 300, El Paso, TX 79935 | 2014-07-07 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1982947636 | Novoa Medical Services, Pa | Obstetrics & Gynecology | 10781 Pebble Hills, Suite A, El Paso, TX 79935 | 2013-04-01 |
| 1366796724 | New Leaf Wellness Center | Counselor | 10921 Pellicano Dr Ste 110, El Paso, TX 79935 | 2012-11-06 |
| 1295980670 | Amy Latonia Hensley | Massage Therapist | 2278 Trawood Dr., Ste. C, El Paso, TX 79935 | 2008-11-26 |
| 1477752855 | Sunland Optical Co Inc | Durable Medical Equipment & Medical Supplies | 1156 Barranca, El Paso, TX 79935 | 2007-07-16 |
| Find all providers in zip 79935 | ||||
| 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 |
| 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 |
| 1235685991 | Diana Vazquez I | Custodial Care Facility | 6605 Paso Redondo Ave., El Paso, TX 79912-3231 | 2016-08-31 |
| 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.