NSCL Inc
Organization Active NPI Home Health Agency · Benavides, TX
NPI 1053404236 · NPPES record last updated May 18, 2023
Key facts
- NPI
- 1053404236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 002834 (TX)
- Legal business name
- NSCL INC
- Practice address
- 114 W Railroad Ave
Benavides, TX 78341 - Phone
- (361) 256-3334
- Fax
- (361) 256-3681
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Marla M Garza
- Title
- Owner/President
- Phone
- (361) 256-3335
Affiliated clinicians 9
-
Sergio Saul Cantu, M.D.
-
Nidish Jose, AGNP-C
-
Vandana S Kamat, M.D.
-
Jerry Liles, D.O.
-
Tarun Madappa, M.D
-
Ana Ynfante Mayorga, APRN, AGPCNP-BC
-
Octavio J Rodriguez II, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Nursing Services and Consultants of Laredo
- Overall star rating
- ★★☆☆☆ 1.5 of 5
- Ownership
- Proprietary
- Certified
- Dec 8, 1993
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 677735
- Legal name
- NSCL INC
- Doing business as
- NURSING SERVICES AND CONSULTANTS OF LAREDO
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 8, 1993
- Last certification
- Jul 24, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Mar 8, 1994 in TX
- Enrollment address
- 114 West Railroad Avenue
Benavides, TX 78341
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Diane Vaughan |
W-2 Managing Employee |
Sep 1, 2022 | |
| D.O.G. Holdings, LLC |
5% Or Greater Direct Ownership Interest | Dec 29, 2016 | 100% |
| Marla Garza |
5% Or Greater Indirect Ownership Interest | Aug 27, 2020 | 100% |
| Corporate Officer |
Aug 27, 2020 | ||
| Corporate Director |
Aug 27, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110523000234 | TX | Part a Provider - Home Health Agency | 1557343019 | Practice locations: Benavides, TX |
National Provider Directory
Locations
7917 McPherson Rd
Ste 210
Laredo, TX 78045
Phone (956) 725-9211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 002834 | TX | Yes |
Addresses
Primary practice location
114 W Railroad Ave
Benavides, TX 78341
Mailing address
PO Box 398
Benavides, TX 78341-0398
Phone (361) 256-4400
Other practice location 1
7917 McPherson Rd Ste 210
Laredo, TX 78045-2812
Phone (956) 725-9211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024845201 | Medicaid | TX |
Other names
- Nursing Services and Consultants of Laredo
Other providers in Benavides, TX
- Chaparral Health Clinic
- City of Benavides EMS
- Community Action Corporation of South Texas
- Community Action Council of South Texas
- MRNG, Inc.
- Santa Fe Healthcare, Inc.
- Santa Fe Hospice LLC
- Victory Ambulance Services LLC
- Noela Villarreal
All providers in Benavides, TX · Home Health Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.