San Martin Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

004014 Issued in TX

Legal business name

SAN MARTIN HOME HEALTH, INC

Practice address

700 Paredes Ave
Suite 300
Brownsville, TX 78521-2170

Phone

(956) 544-6385

Fax

(956) 544-6536

NPI assigned

Jun 11, 2006

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Patricia Renteria

Title

Administrator / Cfo

Phone

(956) 544-6385

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144262866. Details of each certification follow.

• CCN 678233 Home health agency · Active · Details

Home health agency certification: CCN 678233

Legal name

SAN MARTIN HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 22, 1996

Last certification

Oct 1, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 29, 1995 in TX

Enrollment address

700 Paredes Ave
Ste 300
Brownsville, TX 78521-2170

Listed as

San Martin Home Health IncCCN 678233 · All quality measures

Ownership

Proprietary

Certified

May 22, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1144262866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PAREDES AVE",
            "address_2": "SUITE 300",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212170",
            "telephone_number": "956-544-6385",
            "fax_number": "956-544-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PAREDES AVE",
            "address_2": "SUITE 300",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212170",
            "telephone_number": "956-544-6385",
            "fax_number": "956-544-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARTIN HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "RENTERIA",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR / CFO",
        "authorized_official_telephone_number": "956-544-6385"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "004014",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250466-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250466-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000653800",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000112700",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250466-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.

Verify at the official NPI Registry.