NPIMap

Organization Active NPI

Hospice Compassionate Care Services, LLC

  • Community Based Hospice Care Agency
  • Mission, TX
National Provider Identifier
1396983383
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE COMPASSIONATE CARE SERVICES, LLC
Practice address
2411 E Griffin Pkwy
Mission, TX 78572-3301
Phone
(956) 581-9450
Fax
(956) 581-8660
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Mr. Ferney Medina, M.B.A., M.DIV., M.A.
Title
Administrator
Phone
(956) 369-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2411 E Griffin Pkwy
Mission, TX 78572-3301

Mailing address

2411 E Griffin Pkwy
Mission, TX 78572-3301
Phone (956) 581-9450

Other names 1

  • Hospice Compassionate Care Services, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000581 TX Part A Provider - Hospice 4284784018 Practice locations: Mission, TX

Hospice certification: CCN 671642

Legal name
HOSPICE COMPASSIONATE CARE SERVICES, LLC
Doing business as
HOSPICE COMPASSIONATE CARE SERVICES LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 21, 2010
Last certification
Dec 14, 2018
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
2411 E Griffin Parkway
Mission, TX 78572-3320

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Compassionate Care Services LLCCCN 671642
Ownership
For-Profit
Certified
Jan 21, 2010
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2515B E Griffin Pkwy
Mission, TX 78572
Phone (956) 581-9450

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Adriana Fox Individual 5% Or Greater Direct Ownership Interest Jan 15, 2025 20%
Dehra Vela Individual 5% Or Greater Direct Ownership Interest Jan 15, 2025 52%
Ruben Plata Individual 5% Or Greater Direct Ownership Interest Jan 15, 2025 13%
Ferney Medina Individual 5% Or Greater Direct Ownership Interest Jan 15, 2025 15%
General Partnership Interest Apr 22, 2009
Corporate OfficerAdministrator Sep 26, 2008 25%
W-2 Managing EmployeeAd; Jan 15, 2025 15%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1396983383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723301",
            "telephone_number": "956-581-9450",
            "fax_number": "956-581-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723301",
            "telephone_number": "956-581-9450",
            "fax_number": "956-581-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE COMPASSIONATE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "FERNEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-369-5225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A., M.DIV., M.A."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Compassionate Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.