Anthem Healthcare, Inc. – Home Health Agency

Key facts

NPI: 1386973360
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
License: 013388 (TX)
Legal business name: ANTHEM HEALTHCARE, INC.
Practice address: 1615 Veterans Blvd
Eagle Pass, TX 78852-6134
Phone: (830) 776-7068
Fax: (866) 571-0395
NPI assigned: Dec 21, 2009
Organization subpart: No

Authorized official

Name: Mr. Rodolfo Enrique Villalpando Jr.
Title: Ceo
Phone: (830) 776-7068

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Maria Liza Blessett, P.T. Physical Therapist · Eagle Pass, TX · NPI 1750944013

NPD (past)

Medicare Care Compare: Home health agency

Listed as: Anthem Healthcare CCN 747874
Overall star rating: ★★★☆☆ 2.5 of 5
Ownership: Proprietary
Certified: Jun 13, 2013
Medicare certification status: Active (Provider of Services file)
Services: Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
45D2025644	Anthem Healthcare, Inc 1615 S Veterans Blvd, Eagle Pass, TX 78852	Certificate of waiver	Jun 13, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Home health agency certification: CCN 747874

Legal name: ANTHEM HEALTHCARE INC
Doing business as: ANTHEM HEALTHCARE
Certification status: Active
Provider type (POS): Home health agency
Participating since: Jun 13, 2013
Last certification: Feb 28, 2019
Ownership / control type: Proprietary
Organization structure: Corporation · Proprietary
Incorporated: Dec 14, 2009 in TX
Enrollment address: 1615 Veterans Blvd.
Eagle Pass, TX 78852

All disclosed owners & managing parties 1

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

Name	Role	Since	Share
Gerardo D Villalpando Individual	5% Or Greater Direct Ownership Interest	Dec 15, 2017	100%
Gerardo D Villalpando Individual	W-2 Managing Employee	Jan 1, 2018	10%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20120625000070	TX	Part a Provider - Home Health Agency	3870758949	Practice locations: Eagle Pass, TX

National Provider Directory

Locations

3147 Megan St
Ste 4
Eagle Pass, TX 78852
Phone (830) 758-0210

400 N Loop 1604 E
Ste 270
San Antonio, TX 78232
Phone (210) 545-3339

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X	013388	TX	Yes

Addresses

Primary practice location

1615 Veterans Blvd
Eagle Pass, TX 78852-6134

Mailing address

1615 Veterans Blvd
Eagle Pass, TX 78852-6480
Phone (830) 776-7068

Other names

Anthem Healthcare Doing business as

Other providers in Eagle Pass, TX

All providers in Eagle Pass, TX · Home Health 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 Jun 14, 2024. 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.

Verify at the official NPI Registry.