SCC Socorro LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SCC SOCORRO LLC

Doing business as

Las Ventanas de Socorro

Practice address

10064 Alameda Ave
Socorro, TX 79927-1804

Phone

(214) 252-7600

Fax

(214) 252-7599

NPI assigned

Jul 31, 2015

Last updated

Mar 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Beal

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Las Ventanas de Socorro Doing business as

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1184000283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PEARL ST STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017495",
            "telephone_number": "214-252-7600",
            "fax_number": "214-252-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10064 ALAMEDA AVE",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799271804",
            "telephone_number": "214-252-7600",
            "fax_number": "214-252-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCC SOCORRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001027141",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Ventanas de Socorro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Ventanas de Socorro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Ramirez
• Relief Service LLC
• Joaquin Renteria
• Manuel Alejandro Rodriguez Ochoa, PHARM.D
• Andrea Ruiz-Figueroa
• Socorro Family Pharmacy
• Socorro Health Care, LLC (Las Ventanas de Socorro)
• Socorro Medical Clinic LLC
• Stephanie St. Pierre, PHARMD
• Matthew Stafford

• Skilled Nursing Facility in Socorro, TX
• Providers in Socorro, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.