Organization Active NPI

Laredo Skilled Services, Inc.

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1154467496
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010954 Issued in TX
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

Updated by the provider on Jan 3, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 747257
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Sep 3, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
45D1064994Laredo Skilled Services Inc2101 South Ejido Avenue, Laredo, TX 78046Certificate of waiverFeb 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Alex Garcia Individual 5% Or Greater Direct Ownership InterestCeo Oct 20, 2006 100%
Corporate OfficerPresident/Secretary Oct 20, 2006 100%
Corporate DirectorChairman of Board of Directors Oct 20, 2006 100%
W-2 Managing EmployeeAdministrator Oct 20, 2006 100%
Operational/Managerial ControlChief Financial Officer Oct 4, 2017 100%
Judith Barrera Individual W-2 Managing EmployeeAlternate Administrator 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

Verify at the official NPI Registry.