Active NPI
Laredo Skilled Services, Inc.
- Home Health Agency
- Laredo, TX
National Provider Identifier
1154467496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010954
- Legal business name
- LAREDO SKILLED SERVICES, INC.
- Practice address
- 2101 S Ejido Ave
Laredo, TX 78046-6750 - Phone
- (956) 724-4280
- Fax
- (956) 724-2263
- NPI assigned
- Jan 30, 2007
- 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. Alex Garcia
- Title
- Administrator
- Phone
- (956) 724-4280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010954 | TX | Primary |
Addresses
Primary practice location
2101 S Ejido Ave
Laredo, TX 78046-6750
Mailing address
2101 S Ejido Ave
Laredo, TX 78046-6750
Phone (956) 724-4280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070809000059 | TX | Part A Provider - Home Health Agency | 3274624002 | Practice locations: Laredo, TX |
Home health agency certification: CCN 747257
- Legal name
- LAREDO SKILLED SERVICES, INC.
- Doing business as
- LAREDO SKILLED SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 3, 2009
- Last certification
- Sep 23, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 20, 2006 in TX
- Enrollment address
- 2101S Ejido Ave
Laredo, TX 78046-6750
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Laredo Skilled Services Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 3, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational 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 |
|---|---|---|---|
| 45D1064994 | Laredo Skilled Services Inc | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
213 W Village Blvd
Ste 4
Laredo, TX 78041
Phone (956) 724-4280
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alex Garcia | 5% Or Greater Direct Ownership Interest | Oct 20, 2006 | 100% |
| Corporate Officer | Oct 20, 2006 | 100% | |
| Corporate Director | Oct 20, 2006 | 100% | |
| W-2 Managing Employee | Oct 20, 2006 | 100% | |
| Operational/Managerial Control | Oct 4, 2017 | 100% | |
| Judith Barrera | W-2 Managing Employee | Aug 22, 2022 |
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1154467496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 S EJIDO AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780466750",
"telephone_number": "956-724-4280",
"fax_number": "956-724-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S EJIDO AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780466750",
"telephone_number": "956-724-4280",
"fax_number": "956-724-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAREDO SKILLED SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "956-724-4280",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010954",
"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 Jan 3, 2017; 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.