Organization Active NPI

Life Care Hospice and Palliative Services, LLC

  • Community Based Hospice Care Agency
  • McAllen, TX
National Provider Identifier
1265805097
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE CARE HOSPICE AND PALLIATIVE SERVICES, LLC
Doing business as
Life Care Hospice and Palliative Services, LLC
Practice address
3247 N 38TH St
McAllen, TX 78501-3301
Phone
(210) 907-8733
Fax
(888) 977-3184
NPI assigned
Nov 2, 2015
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

3247 N 38TH St
McAllen, TX 78501-3301

Mailing address

8546 Broadway St Ste 213
San Antonio, TX 78217-6340
Phone (210) 907-8733

Other names 1

  • Life Care Hospice and Palliative Services, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607001980 TX Part A Provider - Hospice 6406129964 Practice locations: McAllen, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265805097. Details of each certification follow.

Hospice certification: CCN 971528

Legal name
LIFE CARE HOSPICE AND PALLIATIVE SERVICES LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 3, 2019
Last certification
Oct 3, 2019
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
May 1, 2016 in TX
Enrollment address
3247 N 38TH St
McAllen, TX 78501-3301

Care Compare: Hospice

Medicare Care Compare
Listed as
Life Care Hospice and Palliative Services LLCCCN 971528 · All quality measures
Ownership
Non-Profit
Certified
Oct 3, 2019
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2161274Life Care Hospice and Palliative Services, LLC3247 N 38TH Street, McAllen, TX 78501Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

3247 N 38th St
McAllen, TX 78501
Phone (210) 907-8733

8546 Broadway
Ste 213
San Antonio, TX 78217

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
Hector Carbajal Individual 5% Or Greater Direct Ownership InterestOwner Nov 26, 2018 100%
W-2 Managing EmployeeCeo and Don Jan 7, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1265805097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8546 BROADWAY ST STE 213",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176340",
            "telephone_number": "210-907-8733",
            "fax_number": "888-977-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 N 38TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013301",
            "telephone_number": "210-907-8733",
            "fax_number": "888-977-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOSPICE AND PALLIATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Hospice and Palliative Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.