Faith Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAITH HOSPICE, INC

Practice address

1852 Dale Douglas Dr Ste B
El Paso, TX 79936-4251

Phone

(915) 203-1068

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Dirkx

Title

President

Phone

(915) 203-1068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336731009. Details of each certification follow.

• CCN 971687 Hospice · Active · Details

Hospice certification: CCN 971687

Legal name

FAITH HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 9, 2021

Last certification

Sep 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 3, 2021 in TX

Enrollment address

1852 Dale Douglas Dr
Ste B
El Paso, TX 79936-4251

Listed as

Faith Hospice Inc.CCN 971687 · All quality measures

Ownership

For-Profit

Certified

Sep 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 2

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

• Pablo Alberto Casares, M.D

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1073827762

  Contracted Managing Employee

  CMS ownership
• Anwar Eduardo Monroy, MD

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1568650992

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pablo Alberto Casares, M.D

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1073827762

  Hospice

  Care Compare affiliation
• Anwar Eduardo Monroy, MD

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1568650992

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1336731009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 DALE DOUGLAS DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364251",
            "telephone_number": "915-203-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 DALE DOUGLAS DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364251",
            "telephone_number": "915-203-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "DIRKX",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-203-1068"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric T Fagan
• Fahad Omar MD PA (Pulmonary, Sleep & Allergy Consultants)
• Alhan Fahandezhsaadi
• Michael E Fain
• Khristopher Robert Faiss
• Samuel Christopher Faith, M.D. M.P.H.
• John Eric Fajardo, LAT
• Falcon Medical Equipment LLC
• Ricardo J Falcon, MD
• Kenneth Ray Falknor, O.D.

• Community Based Hospice Care Agency in El Paso, TX
• Providers in El Paso, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.