NPIMap

Organization Active NPI

Far East Foster Home

  • Adult Care Home Facility
  • El Paso, TX
National Provider Identifier
1245697226
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HFFX15-00079 Issued in TX
Legal business name
FAR EAST FOSTER HOME
Practice address
14310 Pancho Gonzalez CT
Unit B
El Paso, TX 79938-5465
Phone
(915) 861-9977
NPI assigned
Jan 22, 2016
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Mr. Mobolaji Johnson OmotoshoNPI 1235496845
Title
Ceo
Phone
(915) 861-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HFFX15-00079 TX Primary

Addresses

Primary practice location

14310 Pancho Gonzalez CT
Unit B
El Paso, TX 79938-5465

Mailing address

14310 Pancho Gonzalez CT
Unit B
El Paso, TX 79938-5465
Phone (915) 861-9977

Other names 1

  • Far East Foster Home Former legal business name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1245697226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 PANCHO GONZALEZ CT",
            "address_2": "UNIT B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799385465",
            "telephone_number": "915-861-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 PANCHO GONZALEZ CT",
            "address_2": "UNIT B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799385465",
            "telephone_number": "915-861-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR EAST FOSTER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "OMOTOSHO",
        "authorized_official_first_name": "MOBOLAJI",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-861-9977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "HFFX15-00079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Far East Foster Home",
            "code": "4",
            "type": "Former Legal Business 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 Jan 22, 2016; 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.