NPIMap

Organization Active NPI

Jggpo Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • El Paso, TX
National Provider Identifier
1063588564
Registry record updated Aug 19, 2009
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Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
454863 Issued in TX
Legal business name
JGGPO CORPORATION
Doing business as
EL PASO PULMONARY REHABILITATION INSTITUTE
Practice address
7806 Gateway Blvd E Ste 100
El Paso, TX 79915-1806
Phone
(915) 566-7584
Fax
(915) 566-7682
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Darren Anthony Pratt, COO
Title
Chief Operating Officer
Phone
(915) 566-7584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 454863 TX Primary

Addresses

Primary practice location

7806 Gateway Blvd E Ste 100
El Paso, TX 79915-1806

Mailing address

7806 Gateway East #100
El Paso, TX 79915-1806
Phone (915) 566-7584

Other names 1

  • EL PASO PULMONARY REHABILITATION INSTITUTE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000382 TX Part A Provider - Comprehensive Outpatient Rehabilitation Facility 5799730917 Practice locations: El Paso, TX

Comprehensive outpatient rehabilitation facility certification: CCN 454863

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
EL PASO PULMONARY REHABILITATION INSTITUTE
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Jun 14, 2005
Last certification
Jan 20, 2016
Ownership / control type
Proprietary
Facility address
7806 Gateway East, Suite 100
El Paso, TX 79915

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jggpo Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1063588564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 GATEWAY EAST #100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151806",
            "telephone_number": "915-566-7584",
            "fax_number": "915-566-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 GATEWAY BLVD E STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151806",
            "telephone_number": "915-566-7584",
            "fax_number": "915-566-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGGPO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "915-566-7584",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "454863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL PASO PULMONARY REHABILITATION INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.