Organization Active NPI

CFHC No22 Inc

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1285397547
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CFHC NO22 INC
Practice address
1370 Pantheon Way Ste 190
San Antonio, TX 78232-2296
Phone
(210) 447-8265
Fax
(210) 783-1070
NPI assigned
Oct 14, 2021
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Darrell Elliott, NPNPI 1104624527
Title
Owner
Phone
(210) 886-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1370 Pantheon Way Ste 190
San Antonio, TX 78232-2296

Mailing address

1370 Pantheon Way Ste 190
San Antonio, TX 78232-2296
Phone (210) 447-8265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220126000594 TX Part A Provider - Hospice 2365834280 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285397547. Details of each certification follow.

Hospice certification: CCN A91625

Legal name
CFHC NO22 INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 13, 2023
Last certification
Jun 2, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 7, 2021 in TX
Enrollment address
1370 Pantheon Way
Ste 190
San Antonio, TX 78232-2296

Care Compare: Hospice

Medicare Care Compare
Listed as
CFHC No22 IncCCN A91625 · All quality measures
Certified
Jun 13, 2023
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
45D2241119CFHC No22 Inc1370 Pantheon Way Suite 190, San Antonio, TX 78232Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory

Locations

2819 NW Loop 410
Ste V
San Antonio, TX 78230
Phone (806) 702-4411

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Darrell Elliott Individual 5% Or Greater Direct Ownership InterestCao Dec 22, 2023 20%
Corporate OfficerCao Dec 22, 2023
Corporate DirectorCao Dec 22, 2023
W-2 Managing EmployeeAd;Alt. Administrator / Director Dec 22, 2023
Lucina B Trevino Individual Contracted Managing EmployeeMD; Dec 22, 2024
Operational/Managerial ControlMedical Director Dec 22, 2024
Juan Cecilio Lopez Individual 5% Or Greater Direct Ownership InterestMember at Large Dec 22, 2023 10%
Corporate OfficerMember at Large Dec 22, 2023
Corporate DirectorMember at Large Dec 22, 2023
Raul Fernando Guerra Individual 5% Or Greater Indirect Ownership InterestPresident / Ceo / Cfo Dec 22, 2023 35%
Corporate OfficerPresident / Ceo / Cfo Dec 22, 2023
Corporate DirectorPresident / Ceo / Cfo Dec 22, 2023
Karla Anabel Lopez Individual 5% Or Greater Indirect Ownership InterestVice President / Coo Dec 22, 2023 35%
Corporate OfficerVice President / Coo Dec 22, 2023
Corporate DirectorVice President / Coo Dec 22, 2023
W-2 Managing EmployeeAd; Dec 22, 2023
KR Medical Group LLC Organization, San Antonio, TX LLC 5% Or Greater Direct Ownership Interest Dec 22, 2023 70%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1285397547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 PANTHEON WAY STE 190",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322296",
            "telephone_number": "210-447-8265",
            "fax_number": "210-783-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 PANTHEON WAY STE 190",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322296",
            "telephone_number": "210-447-8265",
            "fax_number": "210-783-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFHC NO22 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-886-8020",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.