Organization Active NPI

Home-Bound-Med LLC

  • Primary Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1255197273
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HOME-BOUND-MED LLC
Practice address
1701 Bassett Ave Ste 115
El Paso, TX 79901-1801
Phone
(915) 799-1782
Fax
(915) 205-6909
NPI assigned
Feb 27, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Joanna Pena
Title
Director
Phone
(915) 799-1782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

1701 Bassett Ave Ste 115
El Paso, TX 79901-1801

Mailing address

6090 Surety Dr Ste 420
El Paso, TX 79905-2057
Phone (915) 303-9215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240509000649 TX Part B Supplier - Clinic/Group Practice 9234570110 Receives reassigned benefits from 4 practitioners
Practice locations: El Paso, TX
O20241002003614 NM Part B Supplier - Clinic/Group Practice 9234570110 Receives reassigned benefits from 1 practitioner
Practice locations: Sunland Park, NM

National Provider Directory

National Provider Directory

Locations

1685 McNutt Rd
Ste 6
Sunland Park, NM 88063
Phone (512) 994-7700

1701 Bassett Ave
Ste 115
El Paso, TX 79901
Phone (512) 994-7700

Practitioners & affiliated clinicians

Practitioners 7

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": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1255197273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 SURETY DR STE 420",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052057",
            "telephone_number": "915-303-9215",
            "fax_number": "915-218-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BASSETT AVE STE 115",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011801",
            "telephone_number": "915-799-1782",
            "fax_number": "915-205-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME-BOUND-MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-799-1782"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "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 Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.