Active NPI
Patriot Skilled Nursing and Rehabilitation LLC
- Skilled Nursing Facility
- El Paso, TX
National Provider Identifier
1912516329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2165028 | Patriot Skilled Nursing & Rehabilitation | Certificate of waiver | Apr 17, 2027 |
National Provider Directory
National Provider DirectoryNPI 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
- Patricia Ruffier (1st Medical Supply)
- Patricio a. Pazmino PHD, MD, PA
- Patriot Emergency Physicians PLLC
- Patriot Family Dental PLLC (Patriot Family Dental)
- Patriot Rehabilitation and Wellness Center LLC (Patriot Rehabilitation and Wellness Center)
- David S Patterson, MD
- John Patterson, M.D.
- Richard Brian Patterson, PH.D.
- Paul Apilado DDS PA
- Paul C. Nowak, M.D., F.a.a.P.
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.