Organization Active NPI

A & Z Health Care LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1467930719
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jul 26, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NAOtherTXHOSPICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 971761
Ownership
For-Profit
Certified
May 12, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Caridad M Rebollar Individual Contracted Managing EmployeeMD; Nov 2, 2022
Mylynn Dionaldo Suficiencia Individual 5% Or Greater Direct Ownership InterestAlternate Administrator Jul 2, 2022
W-2 Managing EmployeeAlternate Admnistrator Jul 2, 2022
Arnold de Luna Individual 5% Or Greater Direct Ownership InterestCeo Jul 2, 2022 100%
Corporate DirectorCeo Jul 2, 2022 100%
W-2 Managing EmployeeAd; 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.

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

Verify at the official NPI Registry.