Mesquite Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MESQUITE HOSPICE CARE LLC

Practice address

594 Jose Marti Blvd
Brownsville, TX 78526-1787

Phone

(956) 361-5558

Fax

(956) 361-5559

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Michelle Ruvalcaba, RN

Title

Owner/Don/Alt. Adm

Phone

(956) 361-5558

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 1366215485. Details of each certification follow.

• CCN A91725 Hospice · Active · Details

Hospice certification: CCN A91725

Legal name

MESQUITE HOSPICE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 4, 2024

Last certification

Nov 21, 2024

Organization structure

LLCProprietary

Enrollment address

594 Jose Marti Blvd
Brownsville, TX 78526-1787

Listed as

Mesquite Hospice Care LLCCCN A91725 · All quality measures

Certified

Dec 4, 2024

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

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.

Affiliated clinicians 1

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

• Mark Jordan Weisberg, M.D.

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1568690279

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1366215485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 JOSE MARTI BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261787",
            "telephone_number": "956-361-5558",
            "fax_number": "956-361-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 JOSE MARTI BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261787",
            "telephone_number": "956-361-5558",
            "fax_number": "956-361-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "RUVALCABA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DON/ALT. ADM",
        "authorized_official_telephone_number": "956-361-5558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Brownsville, TX
• Providers in Brownsville, 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 Oct 31, 2023; 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.