Merallahtx, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MERALLAHTX, INC

Doing business as

Blue Horizons Hospice of Laredo

Practice address

1100 Matamoros St FL 2
Laredo, TX 78040-5005

Phone

(956) 539-7477

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shazli Malik

Title

Owner

Phone

(956) 539-7477

Specialties & licenses 1

Addresses

Other names 1

• Blue Horizons Hospice of Laredo Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063061562. Details of each certification follow.

• CCN 971792 Hospice · Active · Details

Hospice certification: CCN 971792

Legal name

MERALLAHTX INC

Doing business as

BLUE HORIZONS HOSPICE OF LOREDO

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 5, 2021

Last certification

Aug 5, 2021

Ownership / control type

Proprietary - Individual

Organization structure

CorporationProprietary

Incorporated

Jun 5, 2019 in TX

Enrollment address

15418 Nacogdoches Rd
San Antonio, TX 78247-1106

Listed as

Blue Horizons Hospice of LaredoCCN 971792 · All quality measures

Ownership

For-Profit

Certified

Aug 5, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Michelle Sharisse Crider, APRN, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1811861354

  W-2 Managing Employee

  CMS ownership
• Dimple Tharian, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1003103128

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Sharisse Crider, APRN, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1811861354
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1063061562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MATAMOROS ST FL 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MATAMOROS ST FL 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405005",
            "telephone_number": "956-539-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERALLAHTX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAZLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-539-7477"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Horizons Hospice of Laredo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Riojas Mendoza, SLP
• Karen Mendoza, FNP-C
• Louis Felipe Mendoza Jr., MD
• Noralyssia Esperanza Mendoza
• Menta Dental
• Claudia Getzabeth Mercado, M.D.
• Linda Mercado, APRN-BC
• Mercy Ministries of Laredo
• Mercy Ministries of Laredo
• Mercy Rehab Services Inc (Mercy Kids Rehab)

• Community Based Hospice Care Agency in Laredo, TX
• Providers in Laredo, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.

Verify at the official NPI Registry.