Ims Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IMS HOSPICE CARE, INC.

Practice address

623A S Texas Blvd
Weslaco, TX 78596-6221

Phone

(956) 975-2615

Fax

(956) 975-2619

NPI assigned

Jan 16, 2017

Organization subpart

No

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

Authorized official

Name

William R Carlson

Title

Owner

Phone

(956) 975-2615

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741746

Legal name

IMS HOSPICE CARE, INC

Doing business as

IMS HOME HEALTH & HOSPICE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 8, 2018

Last certification

Feb 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 25, 2016 in TX

Enrollment address

1302 E 8TH St
Weslaco, TX 78596-6637

Listed as

Ims Home Health & Hospice Care, IncCCN 741746

Ownership

Government

Certified

Aug 8, 2018

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Yadira America Perez

  • Gerontology Nurse Practitioner
  • Pharr, TX
  • NPI 1205579620

  Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Jose Fernado Pena, M.D.

  • Internal Medicine Physician
  • Donna, TX
  • NPI 1205875721

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1184160079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623A S TEXAS BLVD",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966221",
            "telephone_number": "956-975-2615",
            "fax_number": "956-975-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623A S TEXAS BLVD",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966221",
            "telephone_number": "956-975-2615",
            "fax_number": "956-975-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMS HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-975-2615"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Weslaco, TX
• Providers in Weslaco, 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 Jan 16, 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.

Verify at the official NPI Registry.