Healthcare Provider Details

I. General information

NPI: 1144025198
Provider Name (Legal Business Name): S EL PASO OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 PEBBLE HILLS BLVD
EL PASO TX
79938-2467
US

IV. Provider business mailing address

1040 CROWN POINTE PKWY STE 600
ATLANTA GA
30338-4741
US

V. Phone/Fax

Practice location:
  • Phone: 915-955-9998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CRAIG ROBINSON
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 770-698-9040