Organization Active NPI

Community Home Care, Inc.

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1013023852
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010032 Issued in TX
Legal business name
COMMUNITY HOME CARE, INC.
Practice address
109 Lake Geneva Dr
Laredo, TX 78041-1918
Phone
(956) 725-3888
Fax
(956) 725-3898
NPI assigned
Aug 22, 2006
Last updated
Apr 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cristina Gomez, RN, MSN
Title
Administrator
Phone
(956) 725-3888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010032 TX Primary
Clinical Medical Laboratory 291U00000X 45D1048177 TX

Addresses

Primary practice location

109 Lake Geneva Dr
Laredo, TX 78041-1918

Mailing address

109 Lake Geneva Dr
Laredo, TX 78041-1918
Phone (956) 725-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110304000624 TX Part A Provider - Home Health Agency 2062433063 Practice locations: Laredo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013023852. Details of each certification follow.

Home health agency certification: CCN 677968

Legal name
COMMUNITY HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 15, 2006
Last certification
Aug 25, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 29, 2005 in TX
Enrollment address
108 Clubview Dr
Laredo, TX 78041-7601

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Home Care IncCCN 677968 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 15, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1048177Community Home Care Inc108 Clubview, Laredo, TX 78041Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cristina Gomez Individual 5% Or Greater Direct Ownership Interest Sep 1, 2010 100%
Corporate Officer Sep 1, 2010 100%
Corporate Director Sep 1, 2010 100%
W-2 Managing Employee Sep 1, 2010 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1013023852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAKE GENEVA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411918",
            "telephone_number": "956-725-3888",
            "fax_number": "956-725-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LAKE GENEVA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411918",
            "telephone_number": "956-725-3888",
            "fax_number": "956-725-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-725-3888",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010032",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1048177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.