Sun City Envision Healthcare Services, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUN CITY ENVISION HEALTHCARE SERVICES, INC

Doing business as

Envision Hospice

Practice address

8929 Viscount Blvd
Upper Level
El Paso, TX 79925-5827

Phone

(915) 778-0028

Fax

(915) 778-0013

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan R Carmona, MBA

Title

Administrator

Phone

(915) 778-0028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Envision Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 671500

Legal name

SUN CITY ENVISION HEALTHCARE SERVICES, INC

Doing business as

ENVISION HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 21, 2005

Last certification

Oct 20, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 8, 2006 in TX

Enrollment address

8929 Viscount Blvd
Uppr Level
El Paso, TX 79925-5827

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sun City Envision Healthcare Services, Inc.

  dba Envision Home Care

  • Home Health Agency
  • El Paso, TX
  • NPI 1538296181

  3173617248

  Same PAC ID

Listed as

Envision HospiceCCN 671500 · All quality measures

Ownership

For-Profit

Certified

Jun 21, 2005

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Sun City Envision Healthcare Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Envision Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
  • NPI 1073522686
  NPD tax ID
• Sun City Envision Healthcare Services, Inc.

  dba Envision Home Care

  • Home Health Agency
  • El Paso, TX
  • NPI 1538296181
  NPD tax ID

Locations

All disclosed owners & managing parties 9

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 4

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

• Muneer E Assi, DO

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1598721904

  Contracted Managing Employee

  CMS ownership
• Jesus Alberto Gomez, M.D.

  • Medical Oncology Physician
  • El Paso, TX
  • NPI 1609873504

  W-2 Managing Employee

  CMS ownership
• Nanda K Gopalan, MD

  • Hematology & Oncology Physician
  • El Paso, TX
  • NPI 1215975321

  Contracted Managing Employee

  CMS ownership
• Lauro Ivan Ortega, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1467890772

  Contracted 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.

• Lauro Ivan Ortega, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1467890772
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Muneer E Assi, DO

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1598721904

  Hospice

  Care Compare affiliation
• Jesus Alberto Gomez, M.D.

  • Medical Oncology Physician
  • El Paso, TX
  • NPI 1609873504

  Hospice

  Care Compare affiliation
• Nanda K Gopalan, MD

  • Hematology & Oncology Physician
  • El Paso, TX
  • NPI 1215975321

  Hospice

  Care Compare affiliation
• Lauro Ivan Ortega, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1467890772

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1063587707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 VISCOUNT BLVD",
            "address_2": "UPPER LEVEL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255827",
            "telephone_number": "915-778-0028",
            "fax_number": "915-778-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 VISCOUNT BLVD",
            "address_2": "UPPER LEVEL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255827",
            "telephone_number": "915-778-0028",
            "fax_number": "915-778-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY ENVISION HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-778-0028",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018163",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sun City Anesthesia ,LLC
• Sun City Behavioral Health Care
• Sun City Dental, PLLC
• Sun City Dermatology, PA
• Sun City Dietitians
• Sun City Envision Healthcare Services, Inc. (Envision Home Care)
• Sun City Envision Home Medical Equipment, LLC (Envision Home Medical Equipment)
• Sun City Eye Care
• Sun City Family Medical Clinic
• Sun City Family Physicians, P.a.

• Community Based Hospice Care Agency in El Paso, TX
• Providers in El Paso, 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 Feb 27, 2013; 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.