Active NPI
Luz Del Carmen Gonzalez
- Foster Care Agency
- El Paso, TX
National Provider Identifier
1225549777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- LHOC19-00007
- Practice address
- 11640 Norman Montion Dr
El Paso, TX 79936-0710 - Phone
- (915) 849-1603
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | LHOC19-00007 | TX | Primary |
Addresses
Primary practice location
11640 Norman Montion Dr
El Paso, TX 79936-0710
Mailing address
11640 Norman Montion Dr
El Paso, TX 79936-0710
Phone (915) 849-1603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | fostercarenissi@outlook.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LHOC19-00007 | TX | MD | Foster Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foster Care Nissi | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- El Paso, TX
- NPI 1225480957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628380800000",
"number": "1225549777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11640 NORMAN MONTION DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799360710",
"telephone_number": "915-849-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11640 NORMAN MONTION DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799360710",
"telephone_number": "915-849-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LUZ",
"middle_name": "DEL CARMEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2021-08-08",
"certification_date": "2021-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "TX",
"license": "LHOC19-00007",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fostercarenissi@outlook.com",
"affiliation": "N",
"address_1": "11640 Norman Montion Dr",
"city": "El Paso",
"state": "TX",
"country_code": "US",
"postal_code": "799360710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.