Organization Active NPI

Brush Country Home Health, Inc.

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1164659587
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRUSH COUNTRY HOME HEALTH, INC.
Practice address
1002 Paseo de Tiber Ste a
Laredo, TX 78046-7642
Phone
(956) 765-1200
Fax
(956) 765-1201
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Mr. Jose Lorenzo Trevino III
Title
President
Phone
(956) 765-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1002 Paseo de Tiber Ste a
Laredo, TX 78046-7642

Mailing address

1002 Paseo de Tiber Ste a
Laredo, TX 78046-7642
Phone (956) 765-1200

Other names 1

  • Brush Country Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100607000642 TX Part A Provider - Home Health Agency 5597895219 Practice locations: San Antonio, TX

Home health agency certification: CCN 747609

Legal name
BRUSH COUNTRY HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 28, 2011
Last certification
Sep 3, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 10, 2009 in TX
Enrollment address
4414 Centerview
Ste 150
San Antonio, TX 78228-1404

Care Compare: Home health agency

Medicare Care Compare
Listed as
Brush Country Home HealthCCN 747609
Ownership
Proprietary
Certified
Jun 28, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
45D1103725Brush Country Home Health Inc4414 Centerview Drive Sute # 150, San Antonio, TX 78228Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory

Locations

1002 Paseo de Tiber
Ste A
Laredo, TX 78046
Phone (956) 765-1200

4414 Centerview
Ste 150
San Antonio, TX 78228
Phone (210) 947-9550

1308 N US Highway 83
Ste 2
Zapata, TX 78076
Phone (956) 765-1200

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Jose Trevino Individual 5% Or Greater Direct Ownership Interest Sep 25, 2009
W-2 Managing EmployeeAd; Sep 25, 2009 100%

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1164659587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 PASEO DE TIBER STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780467642",
            "telephone_number": "956-765-1200",
            "fax_number": "956-765-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PASEO DE TIBER STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780467642",
            "telephone_number": "956-765-1200",
            "fax_number": "956-765-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH COUNTRY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-765-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brush Country Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.