# J SQUARED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Villa Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801931845
- **Authorized official:** DONOVAN J RIVERA (ADMINISTRATOR)
- **Authorized official phone:** (915) 566-2111

## Contact information

- **Practice address:** 2729 PORTER AVE, EL PASO, TX 79930-3625
- **Practice address phone:** (915) 566-2111
- **Practice address fax:** (915) 562-6611
- **Mailing address:** 11913 PASEO DORADO CIR, EL PASO, TX 79936-3785
- **Mailing address phone:** (915) 566-2111
- **Mailing address fax:** (866) 838-4666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 118223 | TX | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 04/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000538001 | — | TX |