Active NPI
Lonestar Legacy Hospice LLC
- Community Based Hospice Care Agency
- El Paso, TX
National Provider Identifier
1043078504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Certified
- Apr 7, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| David Garcia | 5% Or Greater Direct Ownership Interest | Apr 5, 2024 | 20% |
| Cristal Coker | 5% Or Greater Direct Ownership Interest | Apr 5, 2024 | 20% |
| W-2 Managing Employee | Apr 22, 2024 | 100% | |
| Maribel Araiza | 5% Or Greater Direct Ownership Interest | Apr 5, 2024 | 20% |
| Daisy Guynes | 5% Or Greater Direct Ownership Interest | Apr 5, 2024 | 20% |
| Pablo Garcia | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.