El Paso VI Enterprises, L.L.C.
Organization Active NPI Skilled Nursing Facility · El Paso, TX
NPI 1255809448 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1255809448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- EL PASO VI ENTERPRISES, L.L.C.
- Practice address
- 10350 Montana Ave
El Paso, TX 79925-1602 - Phone
- (915) 595-6137
- Fax
- (682) 258-0794
- NPI assigned
- Nov 6, 2018
- Organization subpart
- No
Authorized official
- Name
- Gary Blake
- Title
- Managing Member
- Phone
- (817) 348-8959
Facilities with the same owner 45
Practitioners 4
-
Omiana Abiola Ajibade, NURSE PRACTITIONER
-
Onyema E Amakiri, D.O.
-
Jose Burgos, M.D.
-
Radu I Ciubuc, MD
Affiliated clinicians 1
-
Onyema E Amakiri, D.O.
Medicare Care Compare: Nursing home
- Listed as
- St. Teresa Nursing & Rehab Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Aug 16, 2013
- Medicare certification status
- Active
- Certified beds
- 124 · 103.9 residents per day on average
- Chain
- Creative Solutions in Healthcare
- Penalties (3 years)
- 2 · fines totaling $20,730
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 676342
- Legal name
- EL PASO VI ENTERPRISES LLC
- Doing business as
- ST. TERESA NURSING & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 16, 2013
- Last certification
- Jul 25, 2024
- Beds
- 124
- Ownership / control type
- Individual
- Multi-facility organization
- Creative Solutions in Healthcare
- Organization structure
- LLC · Proprietary
- Enrollment address
- 10350 Montana Ave
El Paso, TX 79925-1602 - Nursing home name
- ST. TERESA NURSING & REHAB CENTER
- Affiliated entity
- CREATIVE SOLUTIONS IN HEALTHCARE
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Malisa a Blake |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2019 | 50% |
| Operational/Managerial Control |
Jan 1, 2019 | 50% | |
| Gary R Blake |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2019 | 50% |
| Operational/Managerial Control |
Jan 1, 2019 | 50% | |
| Linda F Huggins |
W-2 Managing Employee |
Jan 1, 2019 | |
| Honor X Enterprises, LLC |
5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 100% |
| Creative Solutions in Healthcare Inc |
Operational/Managerial Control | Oct 27, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190211001964 | TX | Part a Provider - Skilled Nursing Facility | 5991043325 | Practice locations: El Paso, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
10350 Montana Ave
El Paso, TX 79925-1602
Mailing address
4150 International PLZ Ste 600
Fort Worth, TX 76109-4831
Other names
- St. Teresa Nursing & Rehab Center
NPI Registry JSON
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1255809448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 INTERNATIONAL PLZ STE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10350 MONTANA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251602",
"telephone_number": "915-595-6137",
"fax_number": "682-258-0794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL PASO VI ENTERPRISES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "817-348-8959"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Teresa Nursing & Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.