Vida de Paz, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VIDA DE PAZ, LLC

Practice address

103 N Tower Rd Ste 4
Alamo, TX 78516-2521

Phone

(956) 601-1914

Fax

(956) 601-2031

NPI assigned

Sep 19, 2018

Last updated

Feb 1, 2021By 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

Mr. Sergio A Perez

Title

Owner

Phone

(956) 601-1914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144704818. Details of each certification follow.

• CCN 971517 Hospice · Active · Details

Hospice certification: CCN 971517

Legal name

VIDA DE PAZ LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 16, 2019

Last certification

Sep 16, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 21, 2018 in TX

Enrollment address

103 N Tower Rd
Ste 4
Alamo, TX 78516-2521

Listed as

Vida de Paz LLCCCN 971517 · All quality measures

Ownership

For-Profit

Certified

Sep 16, 2019

Medicare certification status

ActiveFrom the Provider of Services file

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 5

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Stanley P Sy, M.D.

  • Pulmonary Disease Physician
  • Brownsville, TX
  • NPI 1740231893

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Stanley P Sy, M.D.

  • Pulmonary Disease Physician
  • Brownsville, TX
  • NPI 1740231893

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1144704818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N TOWER RD STE 4",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162521",
            "telephone_number": "956-601-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N TOWER RD STE 4",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162521",
            "telephone_number": "956-601-1914",
            "fax_number": "956-601-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA DE PAZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-601-1914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Uvalde County Hospital Authority (The Heights of Alamo)
• Reynaldo Valdez, PNP
• Rene Vela, MD
• Victory Rehab LLC
• Annai Villarreal, LAT, ATC
• Venisa Villarreal, APRN, FNP-BC
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-5165)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-5165)
• Walgreen Co (Walgreens #12837)

• Community Based Hospice Care Agency in Alamo, TX
• Providers in Alamo, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.