Organization Active NPI

Socorro Health Care, LLC

Doing business as Las Ventanas de Socorro

  • Skilled Nursing Facility
  • Socorro, TX
National Provider Identifier
1932664372
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOCORRO HEALTH CARE, LLC
Doing business as
Las Ventanas de Socorro
Practice address
10064 Alameda Ave
Socorro, TX 79927-1801
Phone
(915) 995-7230
Fax
(915) 790-0612
NPI assigned
Feb 8, 2019
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Phillip Teague
Title
President
Phone
(915) 995-7230

Specialties & licenses 1

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

Addresses

Primary practice location

10064 Alameda Ave
Socorro, TX 79927-1801

Mailing address

10064 Alameda Ave
Socorro, TX 79927-1801
Phone (915) 995-7230

Other names 1

  • Las Ventanas de Socorro Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251120003544 TX Part A Provider - Skilled Nursing Facility 1658613575 Practice locations: Socorro, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932664372. Details of each certification follow.

Skilled nursing facility certification: CCN 676393

Legal name
SOCORRO HEALTH CARE LLC
Doing business as
LAS VENTANAS DE SOCORRO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 9, 2016
Last certification
Dec 4, 2024
Beds
126
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Fundamental
Organization structure
LLCProprietary
Enrollment address
10064 Alameda Ave
Socorro, TX 79927-1801
Nursing home name
LAS VENTANAS DE SOCORRO
Affiliated entity
FUNDAMENTAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Las Ventanas De SocorroCCN 676393 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 9, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12665.0 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
1Fines totaling $8,827
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

10064 Alameda Ave
Socorro, TX 79927
Phone (915) 773-0730

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Socorro Health Realty LLC Organization, Tyler, TX LLC Adp of the SNF Aug 31, 2025
Orson Berry Revocable Trust Organization, Tyler, TX Adp of the SNF Aug 31, 2025
Andrew Berry Individual Adp of the SNF Aug 31, 2025
Fundamental Clinical and Operational Services, LLC Organization, Sparks, MD LLC Adp of the SNF Aug 31, 2025
Phillip Teague Individual Corporate OfficerPresident Aug 31, 2025
Operational/Managerial Control Aug 31, 2025
Adp of the SNF Aug 31, 2025
Murray Forman Individual Indirect Ownership Interest Aug 31, 2025 100%
Bronz Peterson Individual Adp of the SNF Aug 31, 2025
Thi of Texas LLC Organization, Sparks, MD LLC, Owned by another organization or individual Direct Ownership Interest Aug 31, 2025 100%
Broadmore Health Realty LTD Organization, Tyler, TX Adp of the SNF Aug 31, 2025
Ikedieze I Chukwu Individual Adp of the SNF Aug 31, 2025
Thi of Baltimore, Inc. Organization, Sparks, MD Corporation, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2025 100%
Hunt Valley Holdings LLC Organization, Sparks, MD LLC, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2025 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1932664372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10064 ALAMEDA AVE",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799271801",
            "telephone_number": "915-995-7230",
            "fax_number": "915-790-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10064 ALAMEDA AVE",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799271801",
            "telephone_number": "915-995-7230",
            "fax_number": "915-790-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCORRO HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-995-7230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Ventanas de Socorro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Ventanas de Socorro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Socorro, TX

Sources for this page

Verify at the official NPI Registry.