NPIMap

Organization Active NPI

Jggpo Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • El Paso, TX
National Provider Identifier
1932469012
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
800442031 Issued in TX
Legal business name
JGGPO CORPORATION
Doing business as
El Paso Pulmonary Rehabilitation Institute
Practice address
4994 Hondo Pass Dr
El Paso, TX 79924-7022
Phone
(915) 566-7584
Fax
(915) 566-7682
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Sergio Juarez, R.N., R.T.NPI 1558429571
Title
Ceo
Phone
(915) 566-7584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 800442031 TX Primary

Addresses

Primary practice location

4994 Hondo Pass Dr
El Paso, TX 79924-7022

Mailing address

7806 Gateway Blvd E Ste 100
El Paso, TX 79915-1806
Phone (915) 566-7584

Other names 1

  • El Paso Pulmonary Rehabilitation Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000419 TX Part A Provider - Comprehensive Outpatient Rehabilitation Facility 5799730917 Practice locations: El Paso, TX

Comprehensive outpatient rehabilitation facility certification: CCN 454886

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
EL PASO PULMONARY REHABILITATION INSTITUTE
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Dec 6, 2012
Last certification
Apr 17, 2018
Ownership / control type
Proprietary
Facility address
4994 Hondo Pass
El Paso, TX 79924

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jggpo Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2871 Pershing Dr
El Paso, TX 79903
Phone (915) 566-7584

4994 Hondo Pass Dr
El Paso, TX 79924
Phone (915) 351-1600

4400 N Mesa St
Ste 4
El Paso, TX 79902
Phone (915) 351-1600

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1932469012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 GATEWAY BLVD E STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151806",
            "telephone_number": "915-566-7584",
            "fax_number": "915-566-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 HONDO PASS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799247022",
            "telephone_number": "915-566-7584",
            "fax_number": "915-566-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGGPO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-566-7584",
        "authorized_official_credential": "R.N., R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "800442031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Paso Pulmonary Rehabilitation Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.