Organization Active NPI

United Hospice Care Services LLC

  • Community Based Hospice Care Agency
  • Weslaco, TX
National Provider Identifier
1144616814
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNITED HOSPICE CARE SERVICES LLC
Practice address
1609 Davenport St Ste C
Weslaco, TX 78596-6543
Phone
(956) 520-7054
Fax
(956) 520-8941
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Roberta L Reyes
Title
Administrator
Phone
(956) 520-7054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1609 Davenport St Ste C
Weslaco, TX 78596-6543

Mailing address

1609 Davenport St Ste C
Weslaco, TX 78596-6543
Phone (956) 520-7054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731016469 TX Part A Provider - Hospice 7719291913 Practice locations: Weslaco, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144616814. Details of each certification follow.

Hospice certification: CCN 741610

Legal name
UNITED HOSPICE CARE SERVICES LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 6, 2016
Last certification
Aug 11, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Apr 2, 2015 in TX
Enrollment address
1609 Davenport St
Ste C
Weslaco, TX 78596-6543

Care Compare: Hospice

Medicare Care Compare
Listed as
United Hospice Care Services LLCCCN 741610 · All quality measures
Ownership
For-Profit
Certified
May 6, 2016
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2095321United Hospice Care Services1609 Davenport Street, Suite B, Weslaco, TX 78596Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

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
Roberta L Reyes Individual 5% Or Greater Direct Ownership Interest Jul 21, 2017 100%
Corporate DirectorAdministrator Apr 2, 2015 100%
Operational/Managerial ControlAdministrator Jul 21, 2017 100%
Linda D Nunez Individual Corporate DirectorDir of Nursing/Alt/Administrator Jul 21, 2017 25%
W-2 Managing EmployeeDir of Nursing/Alt Administrator Jul 21, 2017 15%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1144616814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 DAVENPORT ST STE C",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966543",
            "telephone_number": "956-520-7054",
            "fax_number": "956-520-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 DAVENPORT ST STE C",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966543",
            "telephone_number": "956-520-7054",
            "fax_number": "956-520-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOSPICE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-520-7054"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.