New Mission Home Care LLC
Organization Active NPI Home Health Agency · Clint, TX
NPI 1053449447 · NPPES record last updated Mar 9, 2009
Key facts
- NPI
- 1053449447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 7002738 (TX)
- Legal business name
- NEW MISSION HOME CARE LLC
- Practice address
- 12708 Alameda Ave.
Clint, TX 79836-0350 - Phone
- (915) 851-9200
- Fax
- (915) 851-9207
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Laura Velia Morales, R.N.
- Title
- Administrator
- Phone
- (915) 851-9200
Affiliated clinicians 2
-
Carlos Gonzalez, M.D.
-
Alvaro A Hernandez, M.D.
Medicare Care Compare: Home health agency
- Listed as
- New Mission Home Care
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Aug 18, 2005
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1031781 | New Mission Home Care | Certificate of waiver | Oct 10, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 457881
- Legal name
- NEW MISSION HOME CARE LLC
- Doing business as
- NEW MISSION HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 18, 2005
- Last certification
- Sep 10, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 4, 2004 in TX
- Enrollment address
- 12708 Alameda Ave
Clint, TX 79836-2212
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Morales |
5% Or Greater Direct Ownership Interest |
Aug 4, 2004 | 50% |
| Corporate Director | Jan 3, 2005 | ||
| Operational/Managerial Control | Aug 4, 2004 | ||
| Modesta Leos |
5% Or Greater Direct Ownership Interest |
Aug 4, 2004 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050103000843 | TX | Part a Provider - Home Health Agency | 6800854167 | Practice locations: Clint, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7002738 | TX | Yes |
Addresses
Primary practice location
12708 Alameda Ave.
Clint, TX 79836-0350
Mailing address
PO Box 1424
San Elizario, TX 79849-1424
Phone (915) 851-9200
Other providers in Clint, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2009. 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.