Active NPI
CMV Home Health, LLC
- Home Health Agency
- Laredo, TX
National Provider Identifier
1124491014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CMV HOME HEALTH, LLC
- Practice address
- 6113 Toribio Dr
Laredo, TX 78043-5116 - Phone
- (956) 568-3120
- Fax
- (956) 568-3876
- NPI assigned
- Nov 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Juan Esparza, RN
- Title
- Alternate Administrator
- Phone
- (956) 568-3120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6113 Toribio Dr
Laredo, TX 78043-5116
Mailing address
6113 Toribio Dr
Laredo, TX 78043-5116
Phone (956) 568-3120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160122000728 | TX | Part A Provider - Home Health Agency | 4082917224 | Practice locations: Laredo, TX |
Home health agency certification: CCN 457440
- Legal name
- CMV HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 24, 1983
- Last certification
- Sep 23, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jul 17, 2015 in TX
- Enrollment address
- 6113 Toribio Dr
Laredo, TX 78043-5116
Care Compare: Home health agency
Medicare Care Compare- Listed as
- CMV Home Health LLC
- Ownership
- Proprietary
- Certified
- Mar 24, 1983
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0871217 | CMV Home Health LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
7128 Rosson Ln
Ste 5
Laredo, TX 78041
Phone (956) 480-3902
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Juan Esparza | 5% Or Greater Direct Ownership Interest | Jun 27, 2022 | 100% |
| Corporate Officer | Jun 27, 2022 | 100% | |
| Corporate Director | Jun 27, 2022 | 100% | |
| Operational/Managerial Control | Jun 27, 2022 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1124491014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6113 TORIBIO DR",
"city": "LAREDO",
"state": "TX",
"postal_code": "780435116",
"telephone_number": "956-568-3120",
"fax_number": "956-568-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6113 TORIBIO DR",
"city": "LAREDO",
"state": "TX",
"postal_code": "780435116",
"telephone_number": "956-568-3120",
"fax_number": "956-568-3876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMV HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-02",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A",
"authorized_official_last_name": "ESPARZA",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
"authorized_official_telephone_number": "956-568-3120",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.