Zoe Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ZOE HOSPICE LLC

Doing business as

La Diferencia Hospice

Practice address

933 Pleasanton Rd Ste 109
San Antonio, TX 78214-1657

Phone

(210) 395-3395

Fax

(210) 334-2882

NPI assigned

Oct 8, 2015

Organization subpart

No

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

Authorized official

Name

Mario Barrios, RN, CHPN

Title

Administrator

Phone

(210) 395-3395

Specialties & licenses 1

Addresses

Other names 1

• La Diferencia Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741750

Legal name

ZOE HOSPICE LLC

Doing business as

LA DIFERENCIA HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 25, 2018

Last certification

Jun 4, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Enrollment address

730 Pleasanton Rd
San Antonio, TX 78214-1345

Listed as

La Diferencia HospiceCCN 741750 · All quality measures

Ownership

For-Profit

Certified

Jul 25, 2018

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Andres Perez Ruiz, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1386130151
  NPD
• William Gonzaba Sr., MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1942233804
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1033580675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 PLEASANTON RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141657",
            "telephone_number": "210-395-3395",
            "fax_number": "210-334-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 PLEASANTON RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141657",
            "telephone_number": "210-395-3395",
            "fax_number": "210-334-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-395-3395",
        "authorized_official_credential": "RN, CHPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Diferencia Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Diferencia Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Isaac A. Zoch, MD
• Laura Morelza Zoch, DPT
• Behyar Zoghi, MD
• Zohari Logistics LLC
• Sabrina Zoldey
• Kimberly Zoller, ATC, LAT
• Kristel Zoller, LPC

• Community Based Hospice Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.