NPIMap

Organization Active NPI

Trucare Health Services LLC

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1083199004
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRUCARE HEALTH SERVICES LLC
Practice address
615A Gale St
Laredo, TX 78041-5955
Phone
(956) 712-9988
Fax
(956) 791-4888
NPI assigned
Sep 25, 2018
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PJW HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Joseph Guijarro, MHA
Title
Compliance Supervisor
Phone
(210) 377-3355

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Adult Companion 372600000X
Attendant Care Provider 3747A0650X
Personal Care Attendant 3747P1801X
Home Health Aide 374U00000X
Homemaker 376J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

615A Gale St
Laredo, TX 78041-5955

Mailing address

615A Gale St
Laredo, TX 78041-5955
Phone (956) 712-9988

Other identifiers 1

IdentifierTypeStateIssuer
424724901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191127002129 TX Part A Provider - Home Health Agency 4082047337 Practice locations: Edinburg, TX; San Antonio, TX; Laredo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083199004. Details of each certification follow.

Home health agency certification: CCN 679547

Legal name
TRUCARE HEALTH SERVICES LLC
Doing business as
BRIGHTSTAR CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 7, 2006
Last certification
Feb 16, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 30, 2018 in TX
Enrollment address
615A Gale St
Laredo, TX 78041-5955

Care Compare: Home health agency

Medicare Care Compare
Listed as
Brightstar CareCCN 679547 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Sep 7, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical 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
45D1050109Trucare Health Services LLC615A Gale Street, Laredo, TX 78041Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory
Part of
PJW Health Services LLC

Locations

2715 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 627-2717

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
PJW Health Services LLC Organization, San Antonio, TX Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 30, 2018 100%
Patrick Wong Individual 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
W-2 Managing EmployeeOwner/Director Aug 30, 2018 100%

Change-of-ownership history 1

DateEventCounterparty
Nov 16, 2018 Change of OwnershipThis provider was the buyer Best Healthcare Home Health,LLCCCN 679547, TX, NPI 1023101961

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1083199004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615A GALE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415955",
            "telephone_number": "956-712-9988",
            "fax_number": "956-791-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615A GALE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415955",
            "telephone_number": "956-712-9988",
            "fax_number": "956-791-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PJW HEALTH SERVICES, LLC",
        "enumeration_date": "2018-09-25",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "GUIJARRO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COMPLIANCE SUPERVISOR",
        "authorized_official_telephone_number": "210-377-3355",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424724901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.