Organization Active NPI

Santa Fe Home Care LLC

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1356354906
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009195 Issued in TX
Legal business name
SANTA FE HOME CARE LLC
Practice address
611 Newman St
El Paso, TX 79902
Phone
(915) 845-3900
Fax
(915) 845-3901
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Julissa G Seanez, RN
Title
Administrator
Phone
(915) 845-3900

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X 009195 TX Primary
Nursing Care Agency 251J00000X 009195 TX
In Home Supportive Care Agency 253Z00000X
Private Vehicle 347C00000X
Transportation Broker 347E00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

611 Newman St
El Paso, TX 79902

Mailing address

611 Newman St
El Paso, TX 79902-5513
Phone (915) 845-3900

Other identifiers 1

IdentifierTypeStateIssuer
176729501MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000413 TX Part A Provider - Home Health Agency 5092789404 Practice locations: El Paso, TX

Home health agency certification: CCN 673119

Legal name
SANTA FE HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 25, 2005
Last certification
Aug 12, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 25, 2004 in TX
Enrollment address
611 Newman
El Paso, TX 79902-5513

Care Compare: Home health agency

Medicare Care Compare
Listed as
Santa Fe Home Care LLCCCN 673119 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 25, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Santa Fe Home Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4110 Rio Bravo St
Ste 200
El Paso, TX 79902
Phone (915) 845-3900

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Julissa Gloria Seanez Individual 5% Or Greater Direct Ownership InterestAdministrator Sep 1, 2020 50%
Argelia Seanez Individual 5% Or Greater Direct Ownership InterestAlternate Administrator/ Cfo Sep 1, 2020 50%
W-2 Managing Employee Sep 1, 2020 100%

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1356354906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NEWMAN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025513",
            "telephone_number": "915-845-3900",
            "fax_number": "915-845-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NEWMAN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-845-3900",
            "fax_number": "915-845-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "SEANEZ",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-845-3900",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009195",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "009195",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176729501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.