Su Casa Adult Foster Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

225232 Issued in TX

Legal business name

SU CASA ADULT FOSTER HOME

Practice address

12462 Paseo de Arco CT
El Paso, TX 79928-5669

Phone

(915) 208-3163

Fax

(915) 503-5825

NPI assigned

Feb 2, 2017

Last updated

May 2, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SU CASA ADULT FOSTER HOMEAs reported in NPPES

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

Authorized official

Name

Norma L Marquez, LVN

Title

Nursing Director

Phone

(915) 503-5107

Specialties & licenses 5

Addresses

Other names 2

• Su Casa Adult Care Supply Other name
• Su Casa Adult Transportation Service Other name

Part of

Su Casa Adult Foster Home

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1841738580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12462 PASEO DE ARCO CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285669",
            "telephone_number": "915-208-3163",
            "fax_number": "915-503-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PASEO DE ARCO CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285669",
            "telephone_number": "915-208-3163",
            "fax_number": "915-503-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12157 Alex Guerrero Cir",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799360921",
            "country_code": "US",
            "telephone_number": "915-208-3163",
            "fax_number": "915-503-5825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12005 Crown Royal Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799360620",
            "country_code": "US",
            "telephone_number": "915-208-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SU CASA ADULT FOSTER HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SU CASA ADULT FOSTER HOME",
        "enumeration_date": "2017-02-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSING DIRECTOR",
        "authorized_official_telephone_number": "915-503-5107",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "225232",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "225232",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Su Casa Adult Care Supply",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Su Casa Adult Transportation Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Stuessy, LPC
• Elisa Christine Stump, NNP
• Robert Stump, MD, PHD
• Pamela M Styler, PHD
• Christopher Alexander Styles, DOCTOR OF PHARMACY
• Su Casa Health Care Services LLC (Su Casa Health Care Services)
• Su Casa Personal Care LLC
• Christina Su
• Caelyn Suafo'a
• Alicia S. Suarez-Salas, LMSW

• Adult Care Home Facility in El Paso, TX
• Providers in El Paso, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.