NPIMap

Organization Active NPI

Siloe Home Health & Infusion, LLC

  • Home Health Agency
  • Rockport, TX
National Provider Identifier
1073560694
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SILOE HOME HEALTH & INFUSION, LLC
Practice address
638 E Market St
Rockport, TX 78382-2530
Phone
(361) 238-4999
Fax
(888) 239-5887
NPI assigned
May 28, 2006
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Mr. Clinton Scot Rendall
Title
President
Phone
(361) 238-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

638 E Market St
Rockport, TX 78382-2530

Mailing address

PO Box 2553
Rockport, TX 78381-2553
Phone (361) 238-4999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000203 TX Part A Provider - Home Health Agency 7618980004 Practice locations: Rockport, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073560694. Details of each certification follow.

Home health agency certification: CCN 679686

Legal name
SILOE HOME HEALTH & INFUSION, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 9, 2007
Last certification
Jul 9, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 30, 2006 in TX
Enrollment address
638 E Market St
Rockport, TX 78382-2530
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Siloe Home Health & Infusion, LLCCCN 679686 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 9, 2007
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
45D1055580Siloe Home Health and Infusion LLC638 E Market St, Rockport, TX 78382Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

Locations

709 Alta Vista Dr
Ste 106
Laredo, TX 78041
Phone (844) 801-7111

1521 W Market St
Ste D
Rockport, TX 78382
Phone (361) 450-0347

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
Crescent Coast, Inc. Organization, Corpus Christi, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 9, 2024 100%
Operational/Managerial Control Dec 9, 2024 100%
Clinton Rendall Individual 5% Or Greater Indirect Ownership InterestPresident Dec 9, 2024 55%
Corporate OfficerPresident Dec 9, 2024 100%
Operational/Managerial ControlPresident Dec 9, 2024 100%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1073560694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2553",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783812553",
            "telephone_number": "361-238-4999",
            "fax_number": "888-239-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 E MARKET ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783822530",
            "telephone_number": "361-238-4999",
            "fax_number": "888-239-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOE HOME HEALTH & INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "RENDALL",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-238-4999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

Verify at the official NPI Registry.