Organization Active NPI

Maximum Quality Hospice, LLC

  • Community Based Hospice Care Agency
  • Weslaco, TX
National Provider Identifier
1285137943
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MAXIMUM QUALITY HOSPICE, LLC
Practice address
1609 Davenport St Ste D
Weslaco, TX 78596-6543
Phone
(956) 520-8004
Fax
(956) 289-1221
NPI assigned
Mar 8, 2018
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Antonio Arredondo III
Title
Owner
Phone
(956) 472-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1609 Davenport St Ste D
Weslaco, TX 78596-6543

Mailing address

1609 Davenport St Ste D
Weslaco, TX 78596-6543
Phone (956) 472-4081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181119001728 TX Part A Provider - Hospice 1355695974 Practice locations: Weslaco, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285137943. Details of each certification follow.

Hospice certification: CCN 971584

Legal name
MAXIMUM QUALITY HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 4, 2020
Last certification
Aug 4, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Mar 9, 2018 in TX
Enrollment address
1609 Davenport St
Ste D
Weslaco, TX 78596-6543

Care Compare: Hospice

Medicare Care Compare
Listed as
Maximum Quality Hospice LLCCCN 971584 · All quality measures
Ownership
For-Profit
Certified
Aug 4, 2020
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
45D2161239Maximum Quality Hospice LLC1609 Davenport Street, Ste D, Weslaco, TX 78596Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

Locations

108 W Huisache St
Ste C
Weslaco, TX 78596

Ownership & related parties

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.

NameRoleSinceShare
Arturo Ramos Individual Corporate DirectorAdministrator Sep 5, 2018 50%
Operational/Managerial ControlAdministrator Sep 5, 2018 50%
Roberta L Reyes Individual Corporate DirectorAlternate Administrator Sep 5, 2018 25%
Operational/Managerial ControlAlternate Administrator Sep 5, 2018 25%
Antonio Arredondo Individual 5% Or Greater Direct Ownership Interest Mar 9, 2018 100%
Corporate DirectorBoard Member Sep 5, 2018 50%
Operational/Managerial ControlBoard Member Sep 5, 2018
Jorge Saenz Individual W-2 Managing EmployeeMD; Feb 1, 2021 25%
Operational/Managerial ControlMedical Director Feb 1, 2021 25%
Linda D Nunez Individual Corporate DirectorDirector of Nurses Sep 5, 2018 25%
Operational/Managerial ControlDirector of Nurses Sep 5, 2018 25%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1285137943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 DAVENPORT ST STE D",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966543",
            "telephone_number": "956-472-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 DAVENPORT ST STE D",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966543",
            "telephone_number": "956-520-8004",
            "fax_number": "956-289-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM QUALITY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-472-4081",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.