Individual provider Active NPI

Cecilia Jauregui Terres

  • Assisted Living Facility
  • El Paso, TX
National Provider Identifier
1013453786
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
146935 Issued in TX
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

Updated by the provider on Nov 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
146935OtherTXTEXAS 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

LicenseStateTypeSpecialty
146935TXMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.