PEBBLE CREEK NURSING CENTER
NPI 1699256982
Skilled Nursing Facility in El Paso, TX

Active since August 24, 2018CLIA 45D0691120 · Waiver
2/5
Overall Rating
11608 SCOTT SIMPSON DR, EL PASO, TX 79936(915) 857-0071(915) 857-0118 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 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 1699256982) is a healthcare organization registered as a skilled nursing facility in El Paso, Texas and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Gary Blake, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1699256982
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEL PASO V ENTERPRISES, LLC
Location Address11608 SCOTT SIMPSON DREl Paso, TX 79936-6210
Mailing Address4150 International Plz Ste 600Fort Worth, TX 76109-4831 · (915) 857-0071 · Fax (915) 857-0118
Fax(915) 857-0118
Organization SubpartNo
Authorized OfficialGary BlakeManaging Member · (817) 348-8959
Enumeration DateAugust 24, 2018
NPI 1699256982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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

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.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pebble Creek Nursing Center (CMS certification number 455718), from CMS Care Compare.

Pebble Creek Nursing Center

Nursing home · El Paso, TX
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number455718
Certified Beds120 beds93 residents per day on average
Medicare & Medicaid Participant SinceNovember 13, 1987
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
91.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.6 · LPN 0.87 · RN 0.29
2.75 hrs per resident per day
Weekend Nurse Staffing
2.43 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
48.7%
Registered Nurse Turnover
20%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
10
Infection-Control Citations
2
Fines
1 totaling $9,750.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

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 El Paso V Enterprises, LLC's NPI number?

The NPI number for El Paso V Enterprises, LLC is 1699256982. It was assigned to this organization in the NPPES registry on August 24, 2018. The provider is doing business as Pebble Creek Nursing Center.

Where is El Paso V Enterprises, LLC located?

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

What is El Paso V Enterprises, LLC's specialty?

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

Does El Paso V Enterprises, LLC 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.

Is El Paso V Enterprises, LLC a Medicare-certified nursing home?

Yes. Pebble Creek Nursing Center is a Medicare-certified nursing home with 120 certified beds.

What quality rating does El Paso V Enterprises, LLC have?

CMS rates Pebble Creek Nursing Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does El Paso V Enterprises, LLC accept?

Health plans from Molina Healthcare list El Paso V Enterprises, LLC 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 El Paso V Enterprises, LLC was last updated on August 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.