Organization Active NPI

Milagro Healthcare Services

  • Adult Care Home Facility
  • El Paso, TX
National Provider Identifier
1376917351
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
LHOC15-00236 Issued in TX
Legal business name
MILAGRO HEALTHCARE SERVICES
Practice address
1140 Ada LN
El Paso, TX 79932-2804
Phone
(915) 642-4105
NPI assigned
Nov 13, 2015
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Ms. Sylvia Bonilla-Krueger
Title
Administrator
Phone
(915) 642-4105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X LHOC15-00236 TX Primary

Addresses

Primary practice location

1140 Ada LN
El Paso, TX 79932-2804

Mailing address

1140 Ada LN
El Paso, TX 79932-2804
Phone (915) 642-4105

Other names 1

  • Milagro Adult Foster Home Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1376917351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 ADA LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322804",
            "telephone_number": "915-642-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ADA LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322804",
            "telephone_number": "915-642-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAGRO HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "BONILLA-KRUEGER",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-642-4105",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "LHOC15-00236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milagro Adult Foster Home",
            "code": "5",
            "type": "Other 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 Nov 13, 2015; 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.