Active NPI
Cecilia Jauregui Terres
- Assisted Living Facility
- El Paso, TX
National Provider Identifier
1013453786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 146935
- Practice address
- 11651 Clear Lake Way
El Paso, TX 79936-4382 - Phone
- (915) 921-6752
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 146935 | TX | Primary |
Addresses
Primary practice location
11651 Clear Lake Way
El Paso, TX 79936-4382
Mailing address
11651 Clear Lake Way
El Paso, TX 79936-4382
Phone (915) 921-6752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146935 | Other | TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES ASSISTED LIVING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146935 | TX | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cecilia Terres Eternal Youth Home 2 | Assisted Living Facility | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- El Paso, TX
- NPI 1588125868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1013453786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11651 CLEAR LAKE WAY",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364382",
"telephone_number": "915-921-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11651 CLEAR LAKE WAY",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364382",
"telephone_number": "915-921-6752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRES",
"first_name": "CECILIA",
"middle_name": "JAUREGUI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "146935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES ASSISTED LIVING LICENSE",
"identifier": "146935",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.