Active NPI
Maximum Quality Hospice, LLC
- Community Based Hospice Care Agency
- Weslaco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- For-Profit
- Certified
- Aug 4, 2020
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2161239 | Maximum Quality Hospice LLC | Certificate of waiver | Jan 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Arturo Ramos | Corporate Director | Sep 5, 2018 | 50% |
| Operational/Managerial Control | Sep 5, 2018 | 50% | |
| Roberta L Reyes | Corporate Director | Sep 5, 2018 | 25% |
| Operational/Managerial Control | Sep 5, 2018 | 25% | |
| Antonio Arredondo | 5% Or Greater Direct Ownership Interest | Mar 9, 2018 | 100% |
| Corporate Director | Sep 5, 2018 | 50% | |
| Operational/Managerial Control | Sep 5, 2018 | ||
| Jorge Saenz | W-2 Managing Employee | Feb 1, 2021 | 25% |
| Operational/Managerial Control | Feb 1, 2021 | 25% | |
| Linda D Nunez | Corporate Director | Sep 5, 2018 | 25% |
| Operational/Managerial Control | 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.
-
- Diagnostic Radiology Physician
- Weslaco, TX
- NPI 1093920399
Operational/Managerial Control, W-2 Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.