Active NPI
Assisted Living
- Assisted Living Facility
- El Paso, TX
National Provider Identifier
1063993244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ASSISTED LIVING
- Practice address
- 11065 Tom Weiskopf Dr
El Paso, TX 79936 - Phone
- (915) 694-6886
- NPI assigned
- Aug 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Minerva Sustaita
- Title
- Owner
- Phone
- (915) 519-5735
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
11065 Tom Weiskopf Dr
El Paso, TX 79936
Mailing address
11065 Tom Weiskopf Dr
El Paso, TX 79936-3519
Phone (915) 694-6886
Other names 2
- Miguel f. Leyva
- minerva sustaita
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535241600000",
"number": "1063993244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11065 TOM WEISKOPF DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363519",
"telephone_number": "915-694-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11065 TOM WEISKOPF DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "79936",
"telephone_number": "915-694-6886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-26",
"status": "A",
"authorized_official_last_name": "SUSTAITA",
"authorized_official_first_name": "MINERVA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-519-5735"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miguel f. Leyva",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "minerva sustaita",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 26, 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.