NPIMap

Organization Active NPI

CC Home Health Lubbock, LLC

Doing business as Cuidado Casero Home Health Lubbock

  • Community Based Hospice Care Agency
  • Lubbock, TX
National Provider Identifier
1295921203
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
007152 Issued in TX
Legal business name
CC HOME HEALTH LUBBOCK, LLC
Doing business as
Cuidado Casero Home Health Lubbock
Practice address
2118 Broadway
Lubbock, TX 79401-2913
Phone
(806) 785-7903
Fax
(806) 785-7918
NPI assigned
Sep 24, 2007
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Carmen Santiago, DRPHNPI 1003509373
Title
Ceo
Phone
(817) 310-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 007152 TX Primary

Addresses

Primary practice location

2118 Broadway
Lubbock, TX 79401-2913

Mailing address

1110 N Carroll Ave
Southlake, TX 76092-5306
Phone (817) 310-1100

Other identifiers 1

IdentifierTypeStateIssuer
007152OtherTXSTATE LICENSE

Other names 1

  • CUIDADO CASERO HOME HEALTH LUBBOCK Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000560 TX Part A Provider - Hospice 9830192087 Practice locations: Lubbock, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295921203. Details of each certification follow.

Hospice certification: CCN 671610

Legal name
CC HOME HEALTH LUBBOCK LLC
Doing business as
CUIDADO CASERO HOME HEALTH LUBBOCK
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 24, 2009
Last certification
Sep 1, 2021
Ownership / control type
Non-Profit - Private
Organization structure
LLCProprietary
Incorporated
Nov 16, 1998 in TX
Enrollment address
2118 Broadway
Lubbock, TX 79401-2913

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Cuidado Casero Home Health LubbockCCN 671610 · All quality measures
Ownership
Non-Profit
Certified
Feb 24, 2009
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
CC Home Health Lubbock LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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
Carmen Santiago Individual 5% Or Greater Direct Ownership InterestCeo/Owner Feb 10, 2009 100%
Corporate OfficerPresident Feb 10, 2009
Corporate DirectorPresident Feb 10, 2009
W-2 Managing EmployeeCeo/Owner Feb 10, 2009

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1295921203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N CARROLL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925306",
            "telephone_number": "817-310-1100",
            "fax_number": "817-310-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 BROADWAY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012913",
            "telephone_number": "806-785-7903",
            "fax_number": "806-785-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC HOME HEALTH LUBBOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-310-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "007152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "007152",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUIDADO CASERO HOME HEALTH LUBBOCK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CUIDADO CASERO HOME HEALTH LUBBOCK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.