Organization Active NPI

Lonestar Legacy Hospice LLC

  • Community Based Hospice Care Agency
  • El Paso, TX
National Provider Identifier
1043078504
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LONESTAR LEGACY HOSPICE LLC
Practice address
9206 McCombs St Ste 33
El Paso, TX 79924-7423
Phone
(915) 218-5876
Fax
(915) 218-5202
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Cristal Coker
Title
Alternate Administrator
Phone
(915) 218-5876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

9206 McCombs St Ste 33
El Paso, TX 79924-7423

Mailing address

5300 Tropicana Ave
El Paso, TX 79924-3320
Phone (915) 218-5876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241025001647 TX Part A Provider - Hospice 1557894813 Practice locations: El Paso, TX

Hospice certification: CCN A91753

Legal name
LONESTAR LEGACY HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 7, 2025
Last certification
Mar 26, 2025
Organization structure
LLCProprietary
Incorporated
Apr 5, 2024 in TX
Enrollment address
9206 McCombs St
Ste 33&34
El Paso, TX 79924-7423

Care Compare: Hospice

Medicare Care Compare
Listed as
Lonestar Legacy Hospice LLCCCN A91753
Certified
Apr 7, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

9206 McCombs St
Ste 33
El Paso, TX 79924
Phone (915) 218-5876

9206 McCombs St
Ste 3334
El Paso, TX 79924
Phone (915) 626-9323

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
David Garcia Individual 5% Or Greater Direct Ownership InterestBusiness Owner Apr 5, 2024 20%
Cristal Coker Individual 5% Or Greater Direct Ownership InterestAlt. Adm/Business Owner Apr 5, 2024 20%
W-2 Managing EmployeeAlternate Administrator Apr 22, 2024 100%
Maribel Araiza Individual 5% Or Greater Direct Ownership InterestAdm. Assist/Business Owner Apr 5, 2024 20%
Daisy Guynes Individual 5% Or Greater Direct Ownership InterestBusiness Owner Apr 5, 2024 20%
Pablo Garcia Individual 5% Or Greater Direct Ownership Interest Apr 5, 2024 20%

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": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1043078504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TROPICANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799243320",
            "telephone_number": "915-218-5876",
            "fax_number": "915-218-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9206 MCCOMBS ST STE 33",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799247423",
            "telephone_number": "915-218-5876",
            "fax_number": "915-218-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR LEGACY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "CRISTAL",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "915-218-5876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.