Provider Demographics
NPI:1346842986
Name:SIMPATICO EAST OPERATIONS LLC
Entity Type:Organization
Organization Name:SIMPATICO EAST OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:GLORIA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-474-3537
Mailing Address - Street 1:PO BOX 640726
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-0726
Mailing Address - Country:US
Mailing Address - Phone:915-629-2079
Mailing Address - Fax:915-755-7191
Practice Address - Street 1:1991 SAUL KLEINFELD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-3757
Practice Address - Country:US
Practice Address - Phone:915-629-2079
Practice Address - Fax:915-755-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)