NPIMap

Organization Active NPI

Bernardo Terress the Eternal Youth Home

  • Assisted Living Facility
  • El Paso, TX
National Provider Identifier
1225599590
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BERNARDO TERRESS THE ETERNAL YOUTH HOME
Practice address
2218 Mermaid Dr
El Paso, TX 79936-3621
Phone
(915) 249-6079
Fax
(915) 633-1994
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Bernardo Terres, OWNERNPI 1104362862
Title
Owner
Phone
(915) 249-6079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2218 Mermaid Dr
El Paso, TX 79936-3621

Mailing address

2218 Mermaid Dr
El Paso, TX 79936-3621
Phone (915) 249-6079

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1225599590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 MERMAID DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363621",
            "telephone_number": "915-249-6079",
            "fax_number": "915-633-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 MERMAID DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363621",
            "telephone_number": "915-249-6079",
            "fax_number": "915-633-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDO TERRESS THE ETERNAL YOUTH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "TERRES",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-249-6079",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 28, 2019; 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.