Active NPI
A & Z Health Care LLC
- Community Based Hospice Care Agency
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- A & Z HEALTH CARE LLC
- Practice address
- 1846 N Loop 1604 W
San Antonio, TX 78248-4539 - Phone
- (266) 103-5237
- Fax
- (210) 674-9024
- NPI assigned
- Jul 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arnold De Luna, ALTERNATE ADMINI
- Title
- Manager
- Phone
- (726) 610-3523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1846 N Loop 1604 W
San Antonio, TX 78248-4539
Mailing address
8700 Commerce Park Dr Ste 208
Houston, TX 77036-7497
Phone (281) 397-3899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | TX | HOSPICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190823001602 | TX | Part A Provider - Hospice | 5597093849 | Practice locations: San Antonio, TX |
Hospice certification: CCN 971761
- Legal name
- A & Z HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 12, 2021
- Last certification
- May 12, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Aug 8, 2018 in TX
- Enrollment address
- 1846 N Loop 1604 W
Ste 205
San Antonio, TX 78248-4541
Care Compare: Hospice
Medicare Care Compare- Listed as
- A & Z Health Care LLC
- Ownership
- For-Profit
- Certified
- May 12, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1846 N Loop 1604 W
San Antonio, TX 78248
1225 25th St N
Ste 300B
Texas City, TX 77590
Phone (346) 223-2910
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Caridad M Rebollar | Contracted Managing Employee | Nov 2, 2022 | |
| Mylynn Dionaldo Suficiencia | 5% Or Greater Direct Ownership Interest | Jul 2, 2022 | |
| W-2 Managing Employee | Jul 2, 2022 | ||
| Arnold de Luna | 5% Or Greater Direct Ownership Interest | Jul 2, 2022 | 100% |
| Corporate Director | Jul 2, 2022 | 100% | |
| W-2 Managing Employee | Jul 2, 2022 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Nephrology Physician
- San Antonio, TX
- NPI 1073598520
Contracted Managing Employee
-
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
- NPI 1437929510
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
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": "1532908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658793600000",
"number": "1467930719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 COMMERCE PARK DR STE 208",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367497",
"telephone_number": "281-397-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1846 N LOOP 1604 W",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782484539",
"telephone_number": "266-103-5237",
"fax_number": "210-674-9024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A & Z HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-30",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A",
"authorized_official_last_name": "DE LUNA",
"authorized_official_first_name": "ARNOLD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "726-610-3523",
"authorized_official_credential": "ALTERNATE ADMINI"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPICE",
"identifier": "NA",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.