Organization Active NPI

FS Tenant Pool I Trust

Doing business as The Montevista at Coronado

  • Skilled Nursing Facility
  • El Paso, TX
National Provider Identifier
1851450084
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FS TENANT POOL I TRUST
Doing business as
The Montevista at Coronado
Practice address
1575 Belvidere St
El Paso, TX 79912-2649
Phone
(915) 833-2229
Fax
(915) 581-6168
NPI assigned
Dec 6, 2006
Last updated
Mar 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
FS TENANT POOL I TRUSTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Katherine E Potter
Title
President & Chief Executive Officer
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1575 Belvidere St
El Paso, TX 79912-2649

Mailing address

1575 Belvidere St
El Paso, TX 79912-2649
Phone (915) 833-2229

Other names 1

  • The Montevista at Coronado Doing business as

National Provider Directory

National Provider Directory
Part of
FS Tenant Pool I Trust

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1851450084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 BELVIDERE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122649",
            "telephone_number": "915-833-2229",
            "fax_number": "915-581-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BELVIDERE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122649",
            "telephone_number": "915-833-2229",
            "fax_number": "915-581-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS TENANT POOL I TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FS TENANT POOL I TRUST",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Montevista at Coronado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Montevista at Coronado",
            "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 Mar 27, 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.