NPIMap

Organization Active NPI

FS Tenant Pool I Trust

  • Skilled Nursing Facility
  • El Paso, TX
National Provider Identifier
1871546986
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
Practice address
1575 Belvidere
El Paso, TX 79912
Phone
(915) 833-2229
Fax
(915) 581-6168
NPI assigned
May 18, 2006
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 Financial Officer
Phone
(617) 796-8387

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X 5251 TX
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1575 Belvidere
El Paso, TX 79912

Mailing address

400 Centre Street
Newton, MA 02458
Phone (617) 796-8160

Other identifiers 1

IdentifierTypeStateIssuer
001003664MedicaidTX

Other names 1

  • The Montevista at Coronado Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FS Tenant Pool I Trust3 organizations share this tax ID, including this one
Part of
FS Tenant Pool I Trust

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1871546986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "617-796-8160",
            "fax_number": "617-796-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BELVIDERE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "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": "2006-05-18",
        "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 FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "5251",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003664",
            "state": "TX"
        }
    ],
    "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.