Organization Active NPI

Adventia Healthcare Associates, Inc.

  • Home Health Agency
  • Castroville, TX
National Provider Identifier
1073606083
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010136 Issued in TX
Legal business name
ADVENTIA HEALTHCARE ASSOCIATES, INC.
Practice address
408 Hwy 90 E
Castroville, TX 78009-4547
Phone
(210) 579-4892
Fax
(830) 538-5051
NPI assigned
Oct 2, 2006
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
James Guerrero, RN
Title
Administrator
Phone
(210) 419-2889

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 010136 TX Primary

Addresses

Primary practice location

408 Hwy 90 E
Castroville, TX 78009-4547

Mailing address

408 Hwy 90 E
Castroville, TX 78009-4547
Phone (210) 579-4892

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ADVENTIAHEALTHCARE@YAHOO.COM Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000748 TX Part A Provider - Home Health Agency 9931123825 Practice locations: Castroville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073606083. Details of each certification follow.

Home health agency certification: CCN 679553

Legal name
ADVENTIA HEALTHCARE ASSOCIATES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 19, 2006
Last certification
Dec 4, 2020
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Sep 21, 2005 in TX
Enrollment address
408 US Highway 90 E
Castroville, TX 78009-5229

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adventia Healthcare Associates, IncCCN 679553 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 19, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
45D1048180Adventia Healthcare Associates Inc408 US Hwy 90 E Castroville, Castroville, TX 78009Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory

Locations

11230 West Ave
Ste 1203
San Antonio, TX 78213
Phone (210) 320-2999

1923 Culebra Rd
Ste D
San Antonio, TX 78201
Phone (210) 579-4892

4025 E Southcross Blvd
Ste 24
San Antonio, TX 78222

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
James Guerrero Individual 5% Or Greater Direct Ownership InterestOwner Dec 31, 2021 100%
Corporate OfficerCfo Dec 31, 2021 100%
Corporate DirectorPresident Dec 31, 2021 100%
W-2 Managing EmployeeAdministrator Dec 31, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1073606083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HWY 90 E",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094547",
            "telephone_number": "210-579-4892",
            "fax_number": "830-538-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 HWY 90 E",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094547",
            "telephone_number": "210-579-4892",
            "fax_number": "830-538-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIA HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-419-2889",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADVENTIAHEALTHCARE@YAHOO.COM",
            "affiliation": "N",
            "endpointDescription": "SECURE EMAIL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMAIL",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "408 HWY 90 E",
            "city": "CASTROVILLE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780094547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castroville, TX

Sources for this page

Verify at the official NPI Registry.