Pebble Creek Nursing Center

LBN: Penan Partnership
Pebble Creek Nursing Center is an health care organization with primary practice located at 11608 Scott Simpson Dr , El Paso TX 79936-6210. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Penan Partnership can be contacted via phone (915) 857-0071, or through Perkins, Michael via phone (915) 857-0071.

Contact Information

Primary practice address
11608 Scott Simpson Dr El Paso TX 79936-6210
Phone: (915) 857-0071
Fax: (915) 857-0118
Website:
Map and Directions
Authorized official contact:
Name: Perkins, Michael LNFA
Phone: (915) 857-0071

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 109836 Texas

Profile Details

NPI number 1063419323
LBN Legal business name Penan Partnership
DBA Doing business as Pebble Creek Nursing Center
Authorized official Perkins, Michael LNFA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 25th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063419323 NPPES
Texas MEDICAID 5239

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