Individual provider Active NPI

Imelda Veronica Hernandez, CASE MANAGEMENT

  • Case Management Agency
  • Harlingen, TX
National Provider Identifier
1104284579
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
58465 Issued in TX
Practice address
315 E Jackson St Ste 4
Harlingen, TX 78550-6849
Phone
(956) 778-6886
Fax
(210) 618-0324
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 58465 TX
Case Management Agency 251B00000X 58465 TX Primary

Addresses

Primary practice location

315 E Jackson St Ste 4
Harlingen, TX 78550-6849

Mailing address

319 W Merida St
Weslaco, TX 78599-3855
Phone (956) 463-8360

Other practice location 1

422 E Dove Ave
McAllen, TX 78504-2240
Phone (956) 720-4721

Other names 1

  • Mrs. Imelda Veronica Tafolla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329001361 TX Practitioner - Clinical Social Worker 4284931791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
De Santi Counseling ServicesGroup PAC ID 4880026152, 2 clinicians

Practice addresses (Care Compare)

315 E Jackson St
Suite 4
Harlingen, TX 78550-6849
Phone (956) 778-6886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
De Santi Counseling Services Case Management CurrentSince Sep 1, 2019 Accepting new patients

Locations

315 E Jackson St
Ste 4
Harlingen, TX 78550
Phone (210) 391-7221

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1104284579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W MERIDA ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785993855",
            "telephone_number": "956-463-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E JACKSON ST STE 4",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506849",
            "telephone_number": "956-778-6886",
            "fax_number": "210-618-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 E Dove Ave",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785042240",
            "country_code": "US",
            "telephone_number": "956-720-4721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "IMELDA",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "CASE MANAGEMENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "58465",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "58465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMELDA",
            "last_name": "TAFOLLA",
            "middle_name": "VERONICA",
            "prefix": "MRS.",
            "credential": "CASE MANAGEMENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.