San Juan Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

144386 Issued in TX

Legal business name

SAN JUAN NURSING HOME, INC.

Practice address

300 N Nebraska Ave
San Juan, TX 78589-3040

Phone

(956) 787-1771

Fax

(956) 787-8091

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Eloisa Fernandez

Title

Administrator

Phone

(956) 787-1771

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Skilled nursing facility certification: CCN 455484

Legal name

SAN JUAN NURSING HOME, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Mar 6, 1984

Last certification

Sep 6, 2024

Beds

114

Ownership / control type

Nonprofit Corporation

Organization structure

OtherNon-profit

Enrollment address

300 N Nebraska Ave
San Juan, TX 78589-3040

Nursing home name

SAN JUAN NURSING HOME, INC.

Listed as

San Juan Nursing Home, Inc.CCN 455484 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 6, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11475.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Yuri O Bermudez, MD

  • Family Medicine Physician
  • Pharr, TX
  • NPI 1871502120

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Yuri O Bermudez, MD

  • Family Medicine Physician
  • Pharr, TX
  • NPI 1871502120
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Yuri O Bermudez, MD

  • Family Medicine Physician
  • Pharr, TX
  • NPI 1871502120

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1619918489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N. NEBRASKA AVE.",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-787-1771",
            "fax_number": "956-787-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N NEBRASKA AVE",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893040",
            "telephone_number": "956-787-1771",
            "fax_number": "956-787-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ELOISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-787-1771"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "144386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000454002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0665204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITIES",
            "identifier": "144386",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuliana Salinas, CNP
• Ernesto Salomon
• San Juan DME
• San Juan Family Primary Care Clinic
• San Juan Life Skills Rehab @ Home, LLC
• David John Secord, DPM
• Maleny Serna, LPC
• Perla Sierra
• Ramon O Sifuentes, SLPA
• Sign Language Services

• Skilled Nursing Facility in San Juan, TX
• Providers in San Juan, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.