Organization Active NPI

Hospice El Paso

  • Long Term Care Pharmacy
  • El Paso, TX
National Provider Identifier
1073783262
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
15740 Issued in TX
Legal business name
HOSPICE EL PASO
Practice address
1440 Miracle Way
El Paso, TX 79925-7102
Phone
(915) 532-5699
Fax
(915) 532-7822
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Linda Black, PHARMD
Title
Executive Director
Phone
(915) 532-5699

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X 15740 TX Primary

Addresses

Primary practice location

1440 Miracle Way
El Paso, TX 79925-7102

Mailing address

1440 Miracle Way
El Paso, TX 79925-7102
Phone (915) 532-5699

Other identifiers 2

IdentifierTypeStateIssuer
00200200MedicaidTX
4592805OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HOSPICE EL PASO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hospice of El Paso Inc2 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.

Locations

1440 Miracle Way
El Paso, TX 79925
Phone (915) 532-5699

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1073783262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MIRACLE WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257102",
            "telephone_number": "915-532-5699",
            "fax_number": "915-532-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MIRACLE WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257102",
            "telephone_number": "915-532-5699",
            "fax_number": "915-532-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE EL PASO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "915-532-5699",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "15740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200200",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4592805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPICE EL PASO",
            "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 Oct 4, 2010; 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.