Caridad Healthcare Inc
Organization Active NPI Community Based Hospice Care Agency · Roma, TX
NPI 1336780725 · NPPES record last updated Oct 7, 2019
Key facts
- NPI
- 1336780725
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- CARIDAD HEALTHCARE INC
- Practice address
- 4902 W Highway 83
Ste 2
Roma, TX 78584 - Phone
- (956) 519-3227
- NPI assigned
- Oct 7, 2019
- Organization subpart
- No
Authorized official
- Name
- Alfredo Villarreal, RN
- Title
- Owner
- Phone
- (956) 519-3227
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 2
-
Jorge Lopez, RN
Affiliated clinicians 1
Medicare Care Compare: Hospice
- Listed as
- Caridad Healthcare Inc
- Ownership
- For-Profit
- Certified
- Sep 16, 2020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospice certification: CCN 971619
- Legal name
- CARIDAD HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 16, 2020
- Last certification
- Sep 16, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Nov 6, 2008 in TX
- Enrollment address
- 4902 W Highway 83
Ste 2
Roma, TX 78584-6335
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Samuel Alonzo Ramirez |
Contracted Managing Employee |
Jan 1, 2023 | 15% |
| Alfredo Villarreal |
5% Or Greater Direct Ownership Interest |
Nov 6, 2008 | 100% |
| W-2 Managing Employee |
Nov 6, 2008 | 100% | |
| Jose Galvan |
Corporate Director |
Jan 1, 2020 | 10% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191214000430 | TX | Part a Provider - Hospice | 0345399978 | Practice locations: Roma, TX |
National Provider Directory
- Tax ID family
- Caridad Healthcare Inc
Locations
839 Ricardo Ave
Palmview, TX 78574
Phone (956) 519-3227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
4902 W Highway 83
Ste 2
Roma, TX 78584
Mailing address
4902 W Highway 83
Ste 2
Roma, TX 78584
Phone (956) 519-3227
Other providers in Roma, TX
- Bluebonnet Durable Medical Equipment & Supplies LLC
- Bounce Back Therapy PLLC
- Jose Antonio Cadena
- Cindy Canales
- Nicholas Cantu
- Caridad Healthcare Inc
- Caring Services Unlimited
- Community Action Council of South Texas
- Sylvia Isabel Contreras
- Daria Babineaux MD PA
All providers in Roma, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.