Organization Active NPI

New Mission Home Care LLC

  • Home Health Agency
  • Clint, TX
National Provider Identifier
1053449447
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7002738 Issued in 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
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Ms. Laura Velia Morales, R.N.
Title
Administrator
Phone
(915) 851-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7002738 TX Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103000843 TX Part A Provider - Home Health Agency 6800854167 Practice locations: Clint, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053449447. Details of each certification follow.

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
LLCProprietary
Incorporated
Aug 4, 2004 in TX
Enrollment address
12708 Alameda Ave
Clint, TX 79836-2212

Care Compare: Home health agency

Medicare Care Compare
Listed as
New Mission Home CareCCN 457881 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 18, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1031781New Mission Home Care12708 Alameda Avenue, Clint, TX 79836Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Laura Morales Individual 5% Or Greater Direct Ownership InterestPresident/ Administrator Aug 4, 2004 50%
Corporate Director Jan 3, 2005
Operational/Managerial Control Aug 4, 2004
Modesta Leos Individual 5% Or Greater Direct Ownership InterestVice President Aug 4, 2004 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1053449447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1424",
            "city": "SAN ELIZARIO",
            "state": "TX",
            "postal_code": "798491424",
            "telephone_number": "915-851-9200",
            "fax_number": "915-851-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12708 ALAMEDA AVE.",
            "city": "CLINT",
            "state": "TX",
            "postal_code": "798360350",
            "telephone_number": "915-851-9200",
            "fax_number": "915-851-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MISSION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "VELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-851-9200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "7002738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clint, TX

Sources for this page

Verify at the official NPI Registry.