Falcon Lake Nursing Home, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FALCON LAKE NURSING HOME, LLC

Practice address

200 Carla St
Zapata, TX 78076-3114

Phone

(956) 765-3040

Fax

(956) 765-1720

NPI assigned

Nov 22, 2021

Last updated

Dec 23, 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

Carlos Garza

Title

Owner

Phone

(956) 765-3040

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 1154088474. Details of each certification follow.

• CCN 676214 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 676214

Legal name

FALCON LAKE NURSING HOME, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Feb 20, 2009

Last certification

Jul 18, 2024

Beds

59

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Oct 1, 2021 in TX

Enrollment address

200 Carla St
Zapata, TX 78076-3114

Nursing home name

FALCON LAKE NURSING HOME, LLC

Listed as

Falcon Lake Nursing Home, LLCCCN 676214 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 20, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5940.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 7

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Levine, M.D.

  • Nephrology Physician
  • McAllen, TX
  • NPI 1972574010
  NPD (past)
• Claudia Getzabeth Mercado, M.D.

  • Family Medicine Physician
  • Laredo, TX
  • NPI 1114174497
  NPD (past)

Affiliated clinicians 1

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

• Andrew Levine, M.D.

  • Nephrology Physician
  • McAllen, TX
  • NPI 1972574010

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1154088474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780760266",
            "telephone_number": "956-765-3040",
            "fax_number": "956-765-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARLA ST",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780763114",
            "telephone_number": "956-765-3040",
            "fax_number": "956-765-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON LAKE NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-765-3040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Health Services LLC
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• Emmanuel Eduardo Elizondo
• Falcon Lake Health Care, LTD (Falcon Lake Nursing Home)
• Falcon Lake Health Care, LTD. (Falcon Lake Nursing Home)
• Fortaleza Home Care, LLC
• Kaitlyn M Garcia, MS
• Olga Eloisa Garcia, SLPA
• Rafael Eduardo Garcia, APRN, FNP-BC
• Ramiro Ricardo Garcia, RPH.

• Skilled Nursing Facility in Zapata, TX
• Providers in Zapata, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.