Organization Active NPI

C&L Esperanza Home Health, Inc

  • Community Based Hospice Care Agency
  • Southlake, TX
National Provider Identifier
1407047111
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
004165 Issued in TX
Legal business name
C&L ESPERANZA HOME HEALTH, INC
Doing business as
CUIDADO CASERO HOME HEALTH AND HOSPICE
Practice address
1110 N Carroll Ave
Southlake, TX 76092-5306
Phone
(817) 640-0646
Fax
(817) 640-7174
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Carmen Santiago, DRPH
Title
Ceo
Phone
(817) 310-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 004165 TX Primary

Addresses

Primary practice location

1110 N Carroll Ave
Southlake, TX 76092-5306

Mailing address

1110 N Carroll Ave
Southlake, TX 76092-5306
Phone (817) 310-1100

Other practice location 1

833 W Euless Blvd
Euless, TX 76040-4432
Phone (817) 640-0646

Other identifiers 1

IdentifierTypeStateIssuer
001017836MedicaidTX

Other names 1

  • CUIDADO CASERO HOME HEALTH AND HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030905000027 TX Part A Provider - Hospice 2062323348 1 other NPI on this enrollment
Practice locations: Euless, TX

Hospice certification: CCN 451772

Legal name
C&L ESPERANZA HOME HEALTH INC
Doing business as
CUIDADO CASERO HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 18, 2004
Last certification
Dec 15, 2021
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Incorporated
Oct 16, 1995 in TX
Enrollment address
833 W Euless Blvd
Euless, TX 76040-4432

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Cuidado Casero Home Health & HospiceCCN 451772
Ownership
For-Profit
Certified
Nov 18, 2004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
CL Esperanza Home Health 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

1110 N Carroll Ave
Southlake, TX 76092
Phone (817) 310-1100

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
Dennise Erwin Individual Corporate OfficerPresident Oct 1, 2021
Carmen Santiago Individual 5% Or Greater Direct Ownership Interest Jan 17, 2003
Corporate Director Sep 5, 2003
Joselene Medina Garcia Individual W-2 Managing EmployeeDirector of Services Sep 18, 2015 100%

Practitioners & affiliated clinicians

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1407047111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N CARROLL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925306",
            "telephone_number": "817-310-1100",
            "fax_number": "817-310-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N CARROLL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925306",
            "telephone_number": "817-640-0646",
            "fax_number": "817-640-7174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 W Euless Blvd",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760404432",
            "country_code": "US",
            "telephone_number": "817-640-0646",
            "fax_number": "817-640-7174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C&L ESPERANZA HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-310-1100",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "004165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017836",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUIDADO CASERO HOME HEALTH AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CUIDADO CASERO HOME HEALTH AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.