Organization Active NPI

Patriot Skilled Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • El Paso, TX
National Provider Identifier
1912516329
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PATRIOT SKILLED NURSING AND REHABILITATION LLC
Practice address
11490 Gateway N Blvd.
El Paso, TX 79934
Phone
(318) 812-2140
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Lloyd Douglas
Title
Manager
Phone
(817) 441-6629

Specialties & licenses 1

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

Addresses

Primary practice location

11490 Gateway N Blvd.
El Paso, TX 79934

Mailing address

239 Ave Arterial Hostos Ste 606
San Juan, PR 00918-1347
Phone (787) 232-5005

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2165028Patriot Skilled Nursing & Rehabilitation11490 Gateway N. Blvd, El Paso, TX 79934Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1912516329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS STE 606",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181347",
            "telephone_number": "787-232-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11490 GATEWAY N BLVD.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79934",
            "telephone_number": "318-812-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT SKILLED NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-441-6629"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.