PEBBLE CREEK NURSING CENTER
NPI 1063419323
Skilled Nursing Facility in El Paso, TX

Active since July 01, 2005CLIA 45D0691120 · Waiver
11608 SCOTT SIMPSON DR, EL PASO, TX 79936(915) 857-0071(915) 857-0118 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pebble Creek Nursing Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEBBLE CREEK NURSING CENTER (NPI 1063419323) is a healthcare organization registered as a skilled nursing facility in El Paso, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael Perkins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063419323
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePENAN PARTNERSHIP
Location Address11608 SCOTT SIMPSON DREl Paso, TX 79936-6210
Mailing Address11608 Scott Simpson DrEl Paso, TX 79936-6210 · (915) 857-0071 · Fax (915) 857-0118
Fax(915) 857-0118
Organization SubpartNo
Authorized OfficialMichael PerkinsAdministrator · (915) 857-0071
Enumeration DateJuly 1, 2005
Last NPPES UpdateApril 25, 2012
NPI 1063419323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 109836
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
11608 SCOTT SIMPSON DR, El Paso, TX 79936

Other Names 1

Doing Business AsPebble Creek Nursing Center

Other Identifiers 2

Medicaid5239TX
Medicare ID-Type Unspecified455718TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0691120

Pebble Creek Nursing Center · El Paso, TX
Active · expires Aug 31, 2026
CLIA Number45D0691120
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAngelina Guzman
Laboratory Phone(915) 857-0071
Laboratory LocationPebble Creek Nursing Center11608 Scott Simpson Drive, El Paso, TX 79936
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
11608 SCOTT SIMPSON DR
EL PASO, TX 79936
Skilled Nursing Facility
11608 SCOTT SIMPSON DR
EL PASO, TX 79936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penan Partnership's NPI number?

The NPI number for Penan Partnership is 1063419323. It was assigned to this organization in the NPPES registry on July 1, 2005. The provider is doing business as Pebble Creek Nursing Center.

Where is Penan Partnership located?

Penan Partnership is located at 11608 Scott Simpson Dr, El Paso, TX 79936. The listed phone number is (915) 857-0071.

What is Penan Partnership's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Penan Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0691120) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Penan Partnership accept?

Health plans from UnitedHealthcare list Penan Partnership as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penan Partnership was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.