Organization Active NPI

Buena Vida Hospice LLC

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1295297596
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BUENA VIDA HOSPICE LLC
Practice address
810 Highway 6 S # 101
Houston, TX 77079-4025
Phone
(281) 888-1499
Fax
(832) 550-2636
NPI assigned
Apr 4, 2019
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Francisco Daniel Medrano, MD
Title
Ceo
Phone
(281) 888-1499

Specialties & licenses 1

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

Addresses

Primary practice location

810 Highway 6 S # 101
Houston, TX 77079-4025

Mailing address

810 Highway 6 S # 101
Houston, TX 77079-4025
Phone (281) 888-1499

Care Compare: Hospice

Medicare Care Compare
Listed as
Buena Vida HospiceCCN 971588
Ownership
For-Profit
Certified
Sep 11, 2020
Medicare certification status
Terminated Voluntary: merger or closure, May 5, 2026From the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
45D2169983Buena Vida Hospice, LLC810 Highway 6 S Suite 101, Houston, TX 77079Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory

Locations

810 Highway 6 S
Houston, TX 77079

810 Highway 6 S
Ste 101
Houston, TX 77079
Phone (281) 888-1499

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": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1295297596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HIGHWAY 6 S # 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794025",
            "telephone_number": "281-888-1499",
            "fax_number": "832-550-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HIGHWAY 6 S # 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794025",
            "telephone_number": "281-888-1499",
            "fax_number": "832-550-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-888-1499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.