Organization Active NPI

December Nine Company LTD

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • El Paso, TX
National Provider Identifier
1790860666
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
001007525 Issued in TX
Legal business name
DECEMBER NINE COMPANY LTD
Practice address
20 Founders Blvd
El Paso, TX 79906-4904
Phone
(915) 843-7773
Fax
(915) 843-7784
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Ms. Lori Meraz
Title
Reimbursement Specialist
Phone
(915) 843-7773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 001007525 TX Primary

Addresses

Primary practice location

20 Founders Blvd
El Paso, TX 79906-4904

Mailing address

6501 Boeing Dr Ste G1
El Paso, TX 79925-1085
Phone (915) 843-7773

Other names 1

  • PEOPLECARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
December Nine Company LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6501 Boeing Dr
Ste G1
El Paso, TX 79925

20 Founders Blvd
El Paso, TX 79906
Phone (915) 309-8022

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1790860666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 BOEING DR STE G1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251085",
            "telephone_number": "915-843-7773",
            "fax_number": "915-843-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOUNDERS BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799064904",
            "telephone_number": "915-843-7773",
            "fax_number": "915-843-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECEMBER NINE COMPANY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "MERAZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "REIMBURSEMENT SPECIALIST",
        "authorized_official_telephone_number": "915-843-7773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001007525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEOPLECARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEOPLECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 2022; 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.