Organization Active NPI

Meridian HCS,LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1205925633
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009813 Issued in TX
Legal business name
MERIDIAN HCS,LLC
Practice address
6800 Park Ten Blvd Ste 133E
San Antonio, TX 78213-4229
Phone
(210) 826-9393
Fax
(210) 826-8333
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Mr. Hector Froylan Carbajal Jr.
Title
Ceo/ Owner
Phone
(956) 314-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009813 TX Primary

Addresses

Primary practice location

6800 Park Ten Blvd Ste 133E
San Antonio, TX 78213-4229

Mailing address

6800 Park Ten Blvd Ste 133E
San Antonio, TX 78213-4229
Phone (210) 826-9393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050804000387 TX Part A Provider - Home Health Agency 3779512397 Practice locations: San Antonio, TX

Home health agency certification: CCN 457959

Legal name
MERIDIAN HCS,LLC
Doing business as
MERIDIAN HCS, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 23, 2005
Last certification
Feb 27, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 10, 2004 in TX
Enrollment address
8546 Broadway
#211
San Antonio, TX 78217-6340

Care Compare: Home health agency

Medicare Care Compare
Listed as
Meridian HCS, LLC.CCN 457959
Ownership
Proprietary
Certified
Dec 23, 2005
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
45D1041009Meridian HCS LLC8546 Broadway Suite 211, San Antonio, TX 78217Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

3247 N 38th St
McAllen, TX 78501
Phone (210) 826-9393

8546 Broadway
Ste 111
San Antonio, TX 78217
Phone (210) 826-9393

8546 Broadway
Ste 211
San Antonio, TX 78217
Phone (210) 826-9393

6800 Park Ten Blvd
Ste 133E
San Antonio, TX 78213
Phone (210) 826-9393

Ownership & related parties

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.

NameRoleSinceShare
Clarissa Cortez Individual Corporate OfficerBoard Member Aug 13, 2015
Corporate DirectorBoard Member Aug 13, 2015
W-2 Managing EmployeeBoard Member Aug 13, 2015
Christine a Lopez Individual W-2 Managing EmployeeAdministrator Mar 24, 2014
Marie Lopez Individual Corporate Officer Dec 10, 2004
Hector Carbajal Individual 5% Or Greater Direct Ownership Interest Aug 15, 2015 100%
Corporate OfficerBoard Member Aug 15, 2015
Corporate DirectorBoard Member Aug 15, 2015
W-2 Managing EmployeeBoard Member Aug 15, 2015
Mary Ann Deleon Individual W-2 Managing EmployeeDir of Clinical Services Apr 1, 2014
Michelle M Perrin Individual W-2 Managing EmployeeAlt Administrator Apr 1, 2014
Agustin Aguyao Individual W-2 Managing Employee Jul 12, 2005

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1205925633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 133E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134229",
            "telephone_number": "210-826-9393",
            "fax_number": "210-826-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 133E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134229",
            "telephone_number": "210-826-9393",
            "fax_number": "210-826-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HCS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "FROYLAN",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "956-314-6270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.