NPIMap

Organization Active NPI

Caridad Healthcare Inc

  • Community Based Hospice Care Agency
  • Roma, TX
National Provider Identifier
1336780725
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 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
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Alfredo Villarreal, RNNPI 1871134254
Title
Owner
Phone
(956) 519-3227

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 Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191214000430 TX Part A Provider - Hospice 0345399978 Practice locations: Roma, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336780725. Details of each certification follow.

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
CorporationProprietary
Incorporated
Nov 6, 2008 in TX
Enrollment address
4902 W Highway 83
Ste 2
Roma, TX 78584-6335

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
Caridad Healthcare IncCCN 971619 · All quality measures
Ownership
For-Profit
Certified
Sep 16, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Caridad Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

839 Ricardo Ave
Palmview, TX 78574
Phone (956) 519-3227

4902 W Highway 83
Apt 2
Roma, TX 78584
Phone (956) 519-3227

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Samuel Alonzo Ramirez Individual Contracted Managing EmployeeMedical Director Jan 1, 2023 15%
Alfredo Villarreal Individual 5% Or Greater Direct Ownership InterestPresident Nov 6, 2008 100%
W-2 Managing EmployeeOwner Nov 6, 2008 100%
Jose Galvan Individual Corporate DirectorAdminsitrator Jan 1, 2020 10%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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.

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1336780725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 W HIGHWAY 83",
            "address_2": "STE 2",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78584",
            "telephone_number": "956-519-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 W HIGHWAY 83",
            "address_2": "STE 2",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78584",
            "telephone_number": "956-519-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIDAD HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-519-3227",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roma, TX

Sources for this page

Verify at the official NPI Registry.