NPIMap

Organization Active NPI

Barrio Comprehensive Family Health Care Center, Inc.

Doing business as CommuniCare Health Centers

  • Federally Qualified Health Center (FQHC)
  • Boerne, TX
National Provider Identifier
1104207208
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.
Doing business as
CommuniCare Health Centers
Practice address
430 W. Bandera
Ste 9
Boerne, TX 78006-2521
Phone
(210) 233-7000
Fax
(210) 434-1704
NPI assigned
Jun 15, 2015
Last updated
Jan 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Hung-Vy M Nguyen
Title
Ceo
Phone
(210) 233-7070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

430 W. Bandera
Ste 9
Boerne, TX 78006-2521

Mailing address

3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7000

Other names 1

  • CommuniCare Health Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040130000447 TX Part B Supplier - Clinic/Group Practice 1153226691 Receives reassigned benefits from 273 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX; Wimberley, TX; San Marcos, TX; Kyle, TX; Boerne, TX
O20150813010598 TX Part A Provider - Federally Qualified Health Center (FQHC) 1153226691 Practice locations: Boerne, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104207208. Details of each certification follow.

Federally qualified health center certification: CCN 741900

Legal name
BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER,INC
Doing business as
COMMUNICARE HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 13, 2015
Last certification
Aug 13, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 1979 in TX
Enrollment address
430 W. Bandera
Suite 9
Boerne, TX 78006-2521

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
45D0990243Communicare Health Centers Boerne430 W Bandera Road, Ste #9, Boerne, TX 78006Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Barrio Comp Fam HLTH Ca33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Barrio Comprehensive Family Health Care Center,Inc Organization, Boerne, TX Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015
Juan Aguilera Individual Corporate DirectorBoard Member Sep 1, 2013
Clemencia a Villagran Individual Corporate DirectorBoard Member Sep 1, 2013
Deidre Cacchillo Individual Corporate DirectorBoard Member Sep 1, 2013
Gloria Garcia Individual Corporate DirectorBoard Member Sep 1, 2013
Kelly S Ruel Individual Corporate DirectorBoard Member Sep 1, 2013
Anthony Terrazas Individual Corporate DirectorBoard Member Sep 1, 2013
Jesse Gonzalez Individual Corporate DirectorBoard Member Sep 1, 2013
Joe Pena Individual Corporate DirectorBoard Member Sep 1, 2013
David Wiley Individual Corporate DirectorBoard Member Sep 1, 2013
Hung-Vy M Nguyen Individual Corporate DirectorCeo Jul 1, 2015
Calvin Humphrey Individual Corporate DirectorBoard Member Sep 1, 2013
Esperanza Villareal Individual Corporate DirectorBoard Member Sep 1, 2013
Linda K Le Individual Corporate DirectorBoard Member Sep 1, 2013
Celeste Monforton Individual Corporate DirectorBoard Member Sep 1, 2013
Matthew Kelly Individual Corporate DirectorBoard Member Sep 1, 2013
Quiara M Sherrard Individual Corporate OfficerCro Jul 1, 2015
Corporate DirectorCro Jul 1, 2015
W-2 Managing EmployeeCro Jan 1, 2012

All facility ownership & control disclosures 25

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Communicare Health CentersSan Antonio, TX, CCN 741802 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2012
Communicare Health CentersSan Antonio, TX, CCN 741822 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 19, 1979
Communicare Health CentersSan Antonio, TX, CCN 741853 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 19, 1979
Communicare Health CentersSan Antonio, TX, CCN 741916 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 1, 2013
Communicare Health CentersSan Antonio, TX, CCN 451053 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 31, 2019
Communicare Health CentersSan Antonio, TX, CCN 451056 Federally qualified health center 5% Or Greater Direct Ownership Interest Mar 14, 2019
Communicare Health CentersHelotes, TX, CCN 451074 Federally qualified health center 5% Or Greater Direct Ownership Interest Aug 13, 2019
Barrio Comprehensive Family Health Care Center,IncSan Antonio, TX, CCN 451117 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 3, 2020
Communicare Health CentersSan Antonio, TX, CCN 451135 Federally qualified health center 5% Or Greater Direct Ownership Interest Nov 9, 2020
Barrio Comprehensive Family Health Care Center,IncSan Antonio, TX, CCN 451155 Federally qualified health center 5% Or Greater Direct Ownership Interest Aug 9, 2021
Communicare Health CentersSan Antonio, TX, CCN 451189 Federally qualified health center 5% Or Greater Direct Ownership Interest Mar 7, 2022
Communicare Health CentersSan Antonio, TX, CCN 451190 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 10, 2022
Communicare Health CentersSan Antonio, TX, CCN 451194 Federally qualified health center 5% Or Greater Direct Ownership Interest May 9, 2022
Communicare Health CentersSan Antonio, TX, CCN 451800 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 13, 2022
Communicare Health CentersSan Antonio, TX, CCN 971000 Federally qualified health center 5% Or Greater Direct Ownership Interest Nov 16, 2016
Communicare Health CentersSan Antonio, TX, CCN 451908 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 2023
Communicare Health CentersSan Antonio, TX, CCN 671093 Federally qualified health center 5% Or Greater Direct Ownership Interest May 15, 2023
Communicare Health CentersSan Antonio, TX, CCN 671095 Federally qualified health center 5% Or Greater Direct Ownership Interest May 22, 2023
Communicare Health CentersSan Antonio, TX, CCN 671187 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 5, 2023
Communicare Health CentersSan Antonio, TX, CCN 741191 Federally qualified health center 5% Or Greater Direct Ownership Interest Dec 11, 2023
CommunicareSan Antonio, TX, CCN 971039 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 17, 2024
Communicare Health CentersSan Antonio, TX, CCN 971044 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 1, 2024
Communicare Health CentersSan Antonio, TX, CCN 971048 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 28, 2024
Communicare Health CentersSan Antonio, TX, CCN 971083 Federally qualified health center 5% Or Greater Direct Ownership Interest Jun 16, 2025
Communicare Health CentersSan Marcos, TX, CCN 971098 Federally qualified health center 5% Or Greater Direct Ownership Interest Nov 1, 2025

Facilities with the same owner 25

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

View all 25

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1104207208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782201013",
            "telephone_number": "210-233-7000",
            "fax_number": "210-434-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W. BANDERA",
            "address_2": "STE 9",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062521",
            "telephone_number": "210-233-7000",
            "fax_number": "210-434-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUNG-VY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-233-7070"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommuniCare Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CommuniCare Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.