NPIMap

Organization Active NPI

Casa Shalom

  • Adult Care Home Facility
  • El Paso, TX
National Provider Identifier
1033698055
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CASA SHALOM
Doing business as
Casa Shalom
Practice address
6519 Mohawk Ave
El Paso, TX 79925-2112
Phone
(915) 875-2142
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Maria Rosario OrtegaNPI 1043834443
Title
0Wner
Phone
(915) 307-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

6519 Mohawk Ave
El Paso, TX 79925-2112

Mailing address

11189 Paducah Ave
El Paso, TX 79936-1112
Phone (915) 875-2142

Other practice location 1

11189 Paducah
elpaso, TX 79936
Phone (915) 307-4944 ext. 91540

Other names 1

  • Casa Shalom Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1033698055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11189 PADUCAH AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361112",
            "telephone_number": "915-875-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 MOHAWK AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252112",
            "telephone_number": "915-875-2142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11189 Paducah",
            "address_purpose": "LOCATION",
            "city": "elpaso",
            "state": "TX",
            "postal_code": "79936",
            "country_code": "US",
            "telephone_number": "915-307-4944 x91540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASA SHALOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ROSARIO",
        "authorized_official_title_or_position": "0WNER",
        "authorized_official_telephone_number": "915-307-4944"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Shalom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 1, 2020; 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.